Individual
LISA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 534-8689
Mailing address
309 S BELLEVILLE ST, FREEBURG, IL 62243-1501
(314) 534-8689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020012243
MO
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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