Koni B. Bridges, Lcsw LLC

NPI #1770882847 in Sulphur, Louisiana

Provider Information

NPI Number
1770882847
Entity Type
Organization
Organization Name
Koni B. Bridges, Lcsw LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Mar 15, 2011
Last Updated
Mar 15, 2011

Practice Location

Address
1918 MAPLEWOOD DR
ZIP Code
70663-6006
Phone
(337) 625-5664

Authorized Official

Name
KONI B. BRIDGES, LCSW
Title
OWNER
Phone
(337) 625-5664

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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