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Individual

BRENDA L BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1480 WOODSTONE DR, SUITE 112, SAINT CHARLES, MO 63304-6869
(636) 477-6500
Mailing address
293 TYNDALE DR, O FALLON, MO 63366-7553
(314) 497-9805

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2010016700
MO

Other

Enumeration date
02/06/2015
Last updated
02/12/2026
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