Individual
MRS. BRIDGET BROWNING MICKERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1141 CLAY AVE, SUITE 2, DUNMORE, PA 18510-1191
(570) 963-2079
(570) 963-1953
Mailing address
1141 CLAY AVE, SUITE 2, DUNMORE, PA 18510-1191
(570) 963-2079
(570) 963-1953
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007429L
PA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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