Individual
DEIDRE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 N ARCADIA AVE, DECATUR, GA 30030-2115
(404) 297-1540
Mailing address
1700 CLAIRMONT RD, DECATUR, GA 30033-4032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007303
GA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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