Provider Information for 1184199887
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ARIELLE BRYANT LMFT
Sex: Female
NPI: 1184199887
Last Updated: 2021-03-02
Certification Date: 2021-03-02
Certification Date: 2021-03-02
Details
Name | Value | ||||||||||||
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NPI | 1184199887 | ||||||||||||
Enumeration Date | 2018-10-09 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1555 INDUSTRIAL DR OWOSSO, MI 48867-9775 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 1555 INDUSTRIAL DR OWOSSO, MI 48867-9775 United States Phone: 989-723-6791 | Fax: | ||||||||||||
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