Most Relevant Information
Provider Data
| NPI Number: | 1003546433 |
| Provider Name: | BRIDGET MAUCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/17/2022 |
| Last Updated: | 01/10/2023 |
Provider Practice Location
816 RUDOLPH WAY
GREENDALE
IN
470258312
Practice Location Phone/Fax
| Phone: | 8125371668 |
| Fax: |
Provider Mailing Location
816 RUDOLPH WAY
LAWRENCEBURG
IN
470259031
Provider Mailing Phone/Fax
| Phone: | 8125371668 |
| Fax: |