Individual
MRS. PEGGY ANN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 WEST MAIN, PIERCE CITY, MO 65723-2100
(417) 235-6610
Mailing address
1874 LAWRENCE 1095, MILLER, MO 65707-7225
(417) 773-1355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002470
MO
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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