Individual
NICOLE MARIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
15593 KNOLLWOOD DR, DEARBORN, MI 48120-1353
(419) 944-4590
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011946
MI
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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