| NPI | 1790425924 |
|---|---|
| Other Name | THE BRIDGE THERAPY LCSW, PLLC |
| Entity Type | Organization |
| Authorized Contact | JOHN A DAVIDSON Owner 607-245-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2023-08-02 |