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1023796950
KELLY KATHLEEN BRIDGES
SPRINGFIELD, MO
NPI
1023796950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2023005840)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
KELLY KATHLEEN BRIDGES PLPC
2456 E MADRID AVE
SPRINGFIELD, MO 65804-1884
Phone number: 417-413-1682
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Mailing Address
KELLY KATHLEEN BRIDGES PLPC
1323 E MEADOWMERE ST
SPRINGFIELD, MO 65804-0239
Phone number: 417-848-5716
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