Individual
LANETTE T BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
98 MARGARET ST APT D, SOUTH PORTLAND, ME 04106-2057
(207) 357-2969
Mailing address
98 MARGARET ST APT D, SOUTH PORTLAND, ME 04106-2057
(207) 357-2969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21711
ME
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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