Individual
LESLIE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 INDIAN HILLS DR, RYDAL, GA 30171-1658
(770) 316-2093
Mailing address
84 INDIAN HILLS DR, RYDAL, GA 30171-1658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC013693
GA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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