Organization
EMBRACING STAGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MARIE BRISTOL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(201) 862-4015
Entity
Organization
Contact information
Practice address
151 OCEAN AVE, NORTH MIDDLETOWN, NJ 07748-5656
(201) 449-4687
Mailing address
151 OCEAN AVE, NORTH MIDDLETOWN, NJ 07748-5656
(201) 862-4015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
05/08/2024
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