Individual
BRYDY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
5099 ROCK EAGLE DR, STONE MOUNTAIN, GA 30083-3553
(770) 616-2413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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