Individual
GABRIELLE NICOLE BRYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 BIAK DR, FT CARSON, CO 80913-2301
(719) 216-6109
Mailing address
7107 BIAK DR, FT CARSON, CO 80913-2301
(719) 216-6109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012947
PA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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