Koni Breaux Bridges, LCSW
Social Worker, Clinical in Lake Charles, LA. Individual provider (NPI-1).
NPI number1295915387
StatusActive
Last updated in NPPESFeb 15, 2019
Details
- NPI
- 1295915387
- Entity type
- Individual (NPI-1)
- Name
- Koni Breaux Bridges
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2007
- Last updated
- Feb 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2739 | LA | Yes |
Practice location
108 State StLake Charles, LA 70605-5718
Phone 337-625-5664
Mailing address
Po Box 1865Sulphur, LA 70664-1865
Phone 337-625-5664
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All 69 Clinical Social Worker providers in Lake Charles · All 3,953 providers in Lake Charles
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