Individual
MS. HEATHER HARVEY BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDCII, CDP
Contact information
Practice address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
Mailing address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-7256
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CP00002083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995216
—
WA
Enumeration date
12/16/2008
Last updated
12/16/2008
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