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Individual

MRS. K. BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 LANIER AVE W, SUITE 601, FAYETTEVILLE, GA 30214-7636
(404) 856-9336
(770) 716-2560
Mailing address
500 LANIER AVE W, SUITE 601, FAYETTEVILLE, GA 30214-7636
(404) 856-9336
(770) 716-2560

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
104100000X
Social Worker
132700000X
Dietary Manager
171M00000X
Case Manager/Care Coordinator
Primary
171W00000X
Contractor
172A00000X
Driver
172V00000X
Community Health Worker
174H00000X
Health Educator
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide

Other

Enumeration date
10/17/2013
Last updated
10/17/2013
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