Individual
ELIZABETH BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0330
(301) 733-4038
Mailing address
13218 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(301) 733-0331
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4399
MD
Other
Enumeration date
06/06/2014
Last updated
09/03/2014
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