Individual
MRS. ANTOINETTE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
7012 LAKEMONT CIRCLE, WEST BLOOMFIELD, MI 48323-2095
(248) 683-7116
(248) 683-7118
Mailing address
7012 LAKEMONT CIRCLE, WEST BLOOMFIELD, MI 48323-2095
(248) 683-7116
(248) 683-7118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00801548
MD
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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