Individual
MR. WAYLON ALLEN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1109 JEFFERSON RD STE C, SOUTH CHARLESTON, WV 25309-8815
(877) 338-2725
Mailing address
849 SOMERSET DR, CHARLESTON, WV 25302-2737
(865) 806-9742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW072115947
WV
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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