Individual
MARCIA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
4004 RIVERSIDE PKWY, DECATUR, GA 30034-6799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC004169
GA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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