Individual
MRS. GERALDNE F BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1443 HAMPSHIRE DR, SOUTH BEND, IN 46614-6005
(574) 291-1762
Mailing address
1443 HAMPSHIRE DR, SOUTH BEND, IN 46614-6005
(574) 291-1762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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