Individual
ANGEL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S BOULEVARD STE B, EDMOND, OK 73013-5174
(405) 215-9151
Mailing address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 235-7537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
20922
OK
Other
Enumeration date
12/08/2021
Last updated
08/12/2024
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