Individual
BRYANT EDWARD HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2690 COBB PKWY SE STE A-5, SMYRNA, GA 30080-3062
(706) 442-4487
Mailing address
2690 COBB PARKWAY SE, SUITE A-5 PMB #158, SMYRNA, GA 30080-6846
(706) 442-4487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115984
CA
1041C0700X
Clinical Social Worker
5218C
AL
Other
Enumeration date
01/12/2023
Last updated
07/28/2024
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