Individual
MS. KIMBERLY BRIDGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 N 12TH ST, LEMOYNE, PA 17043-1245
(717) 676-0544
Mailing address
525 N 12TH ST, LEMOYNE, PA 17043-1245
(717) 676-0544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW123009
PA
1041C0700X
Clinical Social Worker
Primary
CW019098
PA
Other
Enumeration date
10/12/2011
Last updated
12/29/2016
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