Individual
BRIDGES WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 LINK RD, HOUSTON, TX 77009-2532
(817) 909-1728
Mailing address
615 LINK RD, HOUSTON, TX 77009-2532
(817) 909-1728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69429
TX
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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