Individual
BRYAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 FANEUIL ST, BRIGHTON, MA 02135-1944
(508) 723-3886
Mailing address
36 FANEUIL ST, BRIGHTON, MA 02135-1944
(508) 723-3886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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