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Individual
MRS. MARILYN M. BRYAN
Active
Individual
MRS. MARILYN M. BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412021
—
NC
Enumeration date
07/27/2006
Last updated
05/17/2016
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