Individual
JUDY A BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 NORTHSIDE DR, E, VALDOSTA, GA 31602-1871
(229) 293-9511
Mailing address
PO BOX 3864, VALDOSTA, GA 31604-3864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN050453
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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