Individual
LINDSEY BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RPT
Contact information
Practice address
10201 E 75TH ST, RAYTOWN, MO 64138-2333
(913) 709-6383
Mailing address
12916 DELMAR ST, LEAWOOD, KS 66209-2350
(913) 709-6383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011036219
MO
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/25/2012
Last updated
03/08/2023
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