Individual
STACEY MARIE BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CUMBERLAND STREET, CHATTANOOGA, TN 37404-1922
(423) 266-6751
(423) 763-4742
Mailing address
1028 E 3RD ST, CHATTANOOGA, TN 37403-2107
(423) 266-6751
(423) 763-4742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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