Individual
MARCUS BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-7200
Mailing address
206 PADDLEWHEEL DR, FLORISSANT, MO 63033-6300
(785) 249-5206
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2007024804
MO
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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