Individual
MS. SHAMONA DYANNA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5805 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 323-1954
Mailing address
5805 OAKLAND DR, PORTAGE, MI 49024-1118
(269) 323-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801096236
MI
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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