Individual
CANDICE KIARA LYNISE BRYANT
Active
Individual
CANDICE KIARA LYNISE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801116724
MI
1041C0700X
Clinical Social Worker
6851108241
MI
Other
Enumeration date
01/03/2023
Last updated
08/18/2023
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