Individual
BRYAN MENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
4500 MILLENNIUM DR, SUITE I, GENESEO, NY 14454-1192
(585) 243-4592
(585) 243-3668
Mailing address
4500 MILLENNIUM DR, SUITE I, GENESEO, NY 14454-1192
(585) 243-4592
(585) 243-3668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R055969
NY
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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