Individual
MARY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Mailing address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
13-23E
AR
Other
Enumeration date
01/15/2014
Last updated
09/03/2014
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