Individual
CRISTY OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(417) 824-1509
Mailing address
PO BOX 197515, NASHVILLE, TN 37219-7515
(941) 782-4150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW23880
FL
Other
Enumeration date
06/27/2023
Last updated
11/27/2024
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