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1194064394
CALEB JOSIAH BRIDGES
GULFPORT, MS
NPI
1194064394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS PH2742)
Enumeration Date
2013-02-07
Last Update Date
2013-02-08
Business Address
Mr. CALEB JOSIAH BRIDGES NCC
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-865-1734
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Mailing Address
Mr. CALEB JOSIAH BRIDGES NCC
3219 JOHNSON STILL RD
BILOXI, MS 39532-9025
Phone number: 228-297-5883
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