Individual
SHELLY BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 GALLETTI WAY, SPARKS, NV 89431-5526
(775) 688-1900
Mailing address
500 GALLETTI WAY, SPARKS, NV 89431-5526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4837C
NV
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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