| Kimberly Bridgman Lcsw | |
|
15 Stuart Dr East Berlin PA 17316-9210 | |
| (717) 676-0544 | |
| Not Available |
| Full Name | Kimberly Bridgman Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Stuart Dr, East Berlin, Pennsylvania |
| Authorized Official Name and Position | Kimberly Gaye Wentzel (OFFICE MANAGER) |
| Authorized Official Contact | 7176760544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Bridgman Lcsw 15 Stuart Dr East Berlin PA 17316-9210 Ph: (717) 676-0544 | Kimberly Bridgman Lcsw 15 Stuart Dr East Berlin PA 17316-9210 Ph: (717) 676-0544 |
| NPI Number | 1144730979 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 06/24/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144730979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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