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Bridget A Woodfork

Behavior Technician in Clayton, MO. Individual provider (NPI-1).

NPI number1699484147
StatusActive
Last updated in NPPESNov 22, 2022

Details

NPI
1699484147
Entity type
Individual (NPI-1)
Name
Bridget A Woodfork
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2022
Certification date
Nov 22, 2022
Last updated
Nov 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931

Phone 636-202-0693 · Fax 855-568-2494

Mailing address

7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931

Phone 636-202-0693 · Fax 855-568-2494

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