Most Relevant Information
Provider Data
| NPI Number: | 1003201021 |
| Provider Name: | THOMIKA MARIE BRIDWELL-PAUL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2015 |
| Last Updated: | 04/06/2015 |
Provider Practice Location
21 WAUMBECK ST
APT 2
DORCHESTER
MA
021211220
Practice Location Phone/Fax
| Phone: | 6173883307 |
| Fax: |
Provider Mailing Location
21 WAUMBECK ST
APT 2
DORCHESTER
MA
021211220
Provider Mailing Phone/Fax
| Phone: | 6173883307 |
| Fax: |