Individual
TINA YVETTE BRYANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2050 A SECOND ST, SE, KIRTLAND AFB, NM 87117-0001
(505) 846-3305
(505) 846-3295
Mailing address
2050 A SECOND ST, SE, KIRTLAND AFB, NM 87117-0001
(505) 846-3305
(505) 846-3295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32420
TX
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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