Individual
MR. ARTHUR THOMAS BRYANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
11594 COLORADO AVE N, CHAMPLIN, MN 55316-2953
(612) 201-3296
Mailing address
11594 COLORADO AVE N, CHAMPLIN, MN 55316-2953
(612) 201-3296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21796
MN
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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