Individual
NATALIE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1264 MERRY ST, AUGUSTA, GA 30904-3845
(762) 585-4610
Mailing address
1264 MERRY ST, AUGUSTA, GA 30904-3845
(762) 585-4610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
090781-1
NY
1041C0700X
Clinical Social Worker
Primary
CSW005983
GA
Other
Enumeration date
11/21/2013
Last updated
03/21/2022
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