Individual
MS. CHANEL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
98 N 2ND ST STE 100, FULTON, NY 13069-1254
(315) 326-3555
Mailing address
98 N 2ND ST STE 100, FULTON, NY 13069-1254
(315) 326-3555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107930-01
NY
1041C0700X
Clinical Social Worker
107930-01
NY
1041S0200X
School Social Worker
Primary
107930-01
NY
Other
Enumeration date
11/04/2019
Last updated
05/20/2020
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