Individual
MS. DEBORA LEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
395 PINE BROOK RD, BOULDER, CO 80304-0435
(303) 955-2468
Mailing address
395 PINE BROOK RD, BOULDER, CO 80304-0435
(303) 955-2468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
721
CO
1041C0700X
Clinical Social Worker
R036072
NY
Other
Enumeration date
12/18/2006
Last updated
04/11/2008
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