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Individual

GENEVIEVE ANN BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9212 N KELLEY AVE STE 200, OKLAHOMA CITY, OK 73131-2419
(405) 626-7445
Mailing address
9212 N KELLEY AVE STE 200, OKLAHOMA CITY, OK 73131-2419
(405) 626-7445

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8517
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8517
INSURANCE
OK
Enumeration date
07/07/2022
Last updated
07/07/2022
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