Individual
BRIDGET IDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6316 S 12TH ST, TACOMA, WA 98465-1900
(235) 565-4887
(253) 565-2983
Mailing address
6424 N 9TH ST, TACOMA, WA 98406-2091
(253) 565-4484
(253) 565-5823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60905465
WA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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