STACEY LEE BRIDGEFORD

BRENTWOOD, NY
NPI1952273468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  842829868)
Enumeration Date2025-09-23
Last Update Date2025-09-23
Business Address
STACEY LEE BRIDGEFORD
452 SUFFOLK AVE
BRENTWOOD, NY 11717-4214
Phone number: 631-436-6065
Mailing Address
STACEY LEE BRIDGEFORD
452 SUFFOLK AVE
BRENTWOOD, NY 11717-4214
Phone number: 631-436-6065
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