Individual
CLAUDETTE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 MARTIN LUTHER KING JR BLVD, DILLON, SC 29536-3304
(843) 774-6591
(843) 774-1409
Mailing address
P O BOX 284, 2810 MC FADDEN COURT, MULLINS, SC 29574
(843) 774-6591
(843) 774-1409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1111011
SC
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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