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Individual
KEVIN BRYANT
Active
Individual
KEVIN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20897
NY
Other
Enumeration date
04/27/2007
Last updated
01/24/2014
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