Individual
MR. BRYAN TIMOTHY BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16513
SC
1041C0700X
Clinical Social Worker
Primary
2005025982
MO
Other
Enumeration date
11/05/2008
Last updated
08/03/2024
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