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1851742985
CORETTA DIANE BRIDGES
SOUTHGATE, MI
NPI
1851742985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801066664)
Enumeration Date
2016-06-30
Last Update Date
2019-06-19
Business Address
Ms. CORETTA DIANE BRIDGES LMSW
13305 REECK CT
SOUTHGATE, MI 48195-3197
Phone number: 734-225-2090
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Mailing Address
Ms. CORETTA DIANE BRIDGES LMSW
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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