Individual
JULIA BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 COLONY CROSSING WAY STE 820, MADISON, MS 39110-6330
(769) 289-2890
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 650-0002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S5269
MS
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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