Individual
ERIN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4468
Mailing address
12103 W EVELY PINES LN, STAR, ID 83669-6126
(208) 515-0185
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-39201
ID
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/10/2014
Last updated
06/27/2024
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