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Individual

MR. BRYAN GILBERT STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC003199

Contact information

Practice address
1012 COGGINS PL NE, MARIETTA, GA 30060-2585
(678) 736-6979
Mailing address
1028 PARK MANOR TER NW, MARIETTA, GA 30064-1455

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC003199
GA

Other

Enumeration date
05/04/2007
Last updated
01/06/2022
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