Individual
MRS. BRENDA KAY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
28 N SAGINAW ST, SUITE 813, PONTIAC, MI 48342-2134
(248) 451-0540
(248) 451-0544
Mailing address
28 N SAGINAW ST, SUITE 813, PONTIAC, MI 48342-2134
(248) 451-0540
(248) 451-0544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801058936
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008970060
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/12/2006
Last updated
07/08/2007
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