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Individual

JENISE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3836 N YORK ST, DENVER, CO 80205-3540
(720) 610-0458
Mailing address
3836 N YORK ST, DENVER, CO 80205-3540
(720) 610-0458

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009923882
CO
1041C0700X
Clinical Social Worker
Primary
CSW008807
GA

Other

Enumeration date
01/10/2024
Last updated
01/10/2024
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