Individual
BRYAN D NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6032 REDONDO SIERRA VIS NE, RIO RANCHO, NM 87144-0606
(703) 945-4535
Mailing address
6032 REDONDO SIERRA VIS NE, RIO RANCHO, NM 87144-0606
(703) 945-4535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08661
NM
Other
Enumeration date
10/24/2017
Last updated
01/04/2022
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