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Individual

MRS. DIANA BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
153 JEFFERSON CHURCH RD STE E, KING, NC 27021-8605
(336) 448-4145
Mailing address
1870 OSCAR FRYE RD, PINNACLE, NC 27043-8269
(336) 408-9526

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10097A
NC

Other

Enumeration date
05/01/2017
Last updated
05/09/2017
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