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Individual

KISA BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2313 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 525-4860
Mailing address
2514 HIGH ST SE, WASHINGTON, DC 20020-4405
(202) 525-4860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
171M00000X
Case Manager/Care Coordinator
Primary
DC
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/28/2026
Last updated
06/29/2026
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