Individual
CHAVELA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18659 GRIGGS ST, DETROIT, MI 48221-1907
(313) 320-3727
Mailing address
18659 GRIGGS ST, DETROIT, MI 48221-1907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016374
MI
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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