Bridgette Diann Mccullough

NPI #1225213978 in Tyler, Texas

Provider Information

NPI Number: 1225213978
Entity Type: Individual
Name: Bridgette Diann Mccullough
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 31, 2007
Last Updated: Dec 31, 2007

Practice Location

Address: 3035 ORR DR
City: Tyler
State: Texas
ZIP Code: 75702-1038
Phone: (903) 592-4857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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