Individual
BRIDGET KIEFABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6160 MISSION GORGE RD STE 180, SAN DIEGO, CA 92120-3410
(194) 816-5200
Mailing address
6160 MISSION GORGE RD STE 180, SAN DIEGO, CA 92120-3410
(619) 481-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
78750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
CA
Enumeration date
08/19/2011
Last updated
08/21/2023
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