Individual
MS. ANN MARIE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 E FREMONT, TOMBSTONE, AZ 85638
(520) 457-2217
(520) 457-3270
Mailing address
304 E 7TH ST, BENSON, AZ 85602
(520) 586-9812
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
LISAC1514
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
982688
—
AZ
Enumeration date
10/19/2006
Last updated
07/08/2007
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