Individual
MRS. CLARE UNDERWOOD BRYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MED NCC LPC
Contact information
Practice address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6509
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 275-3546
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC004142
GA
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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