Individual
ANGELA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 W HOUSATONIC ST, SUITE 206, PITTSFIELD, MA 01201-6678
(413) 443-7219
Mailing address
703 W HOUSATONIC ST, SUITE 206, PITTSFIELD, MA 01201-6678
(413) 443-7219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306839
—
MA
Enumeration date
10/19/2011
Last updated
10/19/2011
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