Doctor Name: | MRS. ANGELA KAREN BRIDGES |
NPI Number: | 1053560755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., L.C.S.W |
License Number: | C006038 |
Business Practice Address: | 7304 Mithrasdowne Ct Wake Forest, NC - 275875396 |
Business Phone Number: | 9196713317 |
Business Fax Number: | 9197611244 |
Mailing Address: | 7304 Mithrasdowne Ct, WAKE FOREST |
State: | NC |
Postal Code: | 275875396 |
Phone Number: | 9196713317 |
Fax Number: | 9197611244 |
NPI Enumeration Date: | 09/17/2008 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C006038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |