Individual
MR. DANNY BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W
Contact information
Practice address
1601 TURNER STREET, SUITE 210, HOBBS, NM 88240
(505) 441-4381
Mailing address
PO BOX 1914, HOBBS, NM 88241-1914
(505) 441-4381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3024
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600854
—
NM
Enumeration date
09/22/2006
Last updated
07/09/2007
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