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1104198720
BRIDGETT BUSHNELL
SHREVEPORT, LA
NPI
1104198720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 7776)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
Mrs. BRIDGETT BUSHNELL LCSW
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106-4231
Phone number: 318-861-1671
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Mailing Address
Mrs. BRIDGETT BUSHNELL LCSW
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106-4231
Phone number: 318-861-1671
Copy
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