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1932763133
BRIDGET IDEKER
TACOMA, WA
NPI
1932763133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60905465)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
BRIDGET IDEKER LICSW
6316 S 12TH ST
TACOMA, WA 98465-1900
Phone number: 235-565-4887
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Mailing Address
BRIDGET IDEKER LICSW
6424 N 9TH ST
TACOMA, WA 98406-2091
Phone number: 253-565-4484
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