Individual
ANGELICA N BRISTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11350 MCCORMICK RD STE 800, HUNT VALLEY, MD 21031-1002
(410) 800-2169
Mailing address
2825 BENSON MILL RD, SPARKS GLENCOE, MD 21152-9575
(443) 805-4823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26523
MD
Other
Enumeration date
06/27/2022
Last updated
06/28/2022
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