Mark F Bridge
Mark F Bridge is a Counselor in Decatur, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
132 S Water St Ste 604Decatur, IL 62523-1332
Phone: (217) 423-6199
Fax: (217) 423-1035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1316152663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 132 S Water St, Suite 604, Decatur, IL 62523-1332 |
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