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Individual

BEVERLY MANN BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2400 GORDON SMITH DR, MOBILE, AL 36617-2319
(251) 473-4423
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-5901
(251) 662-7297

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1619
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50162
NATIONAL BOARD FOR CERTIF
Enumeration date
07/27/2006
Last updated
07/13/2007
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