Kelly Dean Bryan LMSW, CAC-I

NPI 1144359795 - Social Worker - 104100000X

NPI Details
NPI 1144359795
Gender Female
Enumeration Date 03/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
BRIDGEPORT MI, 48722-9566, US
Phone (989) 777-4357
Fax (989) 777-7257
Business Location
BAY CITY MI, 48708-5478, US
Phone (989) 895-5049
Taxonomy Code 104100000X
License State Michigan
License Number 6801077320
Remove 1144359795 NPI Number

According to our database, Mrs. Kelly Dean Bryan LMSW, CAC-I NPI is 1144359795, taxonomy code is 104100000X and license number is 6801077320, license state is located at Michigan. Kelly Dean Bryan LMSW, CAC-I physically located at 6379 Dixie Hwy, Bridgeport MI, 48722-9566. NPI Number Kelly Dean Bryan LMSW, CAC-I has the Individual type.

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1144359795 NPI number is provided on an as is basis without warranty of any kind. 1144359795 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Dean Bryan LMSW, CAC-I are for informational purposes only.