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Individual

ERIC WILLIAM BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
Mailing address
3800 NICHOLASVILLE RD APT 8712, LEXINGTON, KY 40503-6353
(859) 421-3246

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
253290
KY

Other

Enumeration date
07/19/2018
Last updated
07/19/2018
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