Individual
MR. JEFFREY D BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1841 N. PERRY ST, PONTIAC, MI 48340
(248) 745-4900
(248) 377-2676
Mailing address
38855 HILLS TECH DR STE 200, FARMINGTON HILLS, MI 48331-3428
(248) 745-4900
(248) 377-2676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6802089149
—
MI
Enumeration date
04/27/2017
Last updated
04/27/2017
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