Individual
PATRICIA A BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
607 MCCULLOUGH AVE NE, HUNTSVILLE, AL 35801-6342
(256) 655-7577
Mailing address
105 TAHOE CIR, HARVEST, AL 35749-9628
(256) 655-7577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1862C
AL
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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