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Organization

BRIDGE & ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE M CUMMINGS-BRIDGE LCSW LMFT (OWNER)
(817) 872-2663
Entity
Organization

Contact information

Practice address
11784 EAST CT, AZLE, TX 76020-5532
(817) 872-2663
(817) 989-1329
Mailing address
11784 EAST CT, AZLE, TX 76020-5532
(817) 872-2663
(817) 989-1329

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02651959
MEDICARE PTAN
TX
Enumeration date
12/30/2022
Last updated
01/12/2023
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