Individual
MONIQUE L BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLSMW
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 452-4387
Mailing address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
(479) 452-4387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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