Individual
TONYA MICHELLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
3214 WINDCHESTER DR., BENTON, AR 72015
(501) 326-6160
Mailing address
2703 SPRINGHILL RD, BENTON, AR 72015-7558
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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