Individual
JENNIFER BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
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) 449-4687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05887500
NJ
Other
Enumeration date
11/05/2019
Last updated
04/13/2021
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