Individual
ANJERRICAL BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HUDSON LN, MONROE, LA 71201-6068
(318) 435-8351
Mailing address
1401 HUDSON LN STE 139, MONROE, LA 71201-6037
(318) 651-0086
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
251S00000X
Community/Behavioral Health Agency
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009698103
I.D.
LA
Enumeration date
07/11/2022
Last updated
07/20/2022
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