Individual
MAVIS BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
4050 RIOMAR DR, ROCKLEDGE, FL 32955-5322
(321) 634-6047
(321) 634-6523
Mailing address
4050 RIOMAR DR, ROCKLEDGE, FL 32955-5322
(321) 634-6047
(321) 634-6523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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