Individual
IMANI BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
194 GIFFORD ST, SPRINGFIELD, MA 01118-2104
(413) 541-9090
Mailing address
194 GIFFORD ST, SPRINGFIELD, MA 01118-2104
(413) 541-9090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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