Provider Information for 1538524418
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Ms. SHIRONDA BRYANT M.ED
Sex: Female
NPI: 1538524418
Last Updated: 2020-02-20
Certification Date: 2020-02-20
Certification Date: 2020-02-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538524418 | ||||||||
| Enumeration Date | 2015-12-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2933 WINTON DR FAYETTEVILLE, NC 28306-8269 United States Phone: 973-902-9860 | Fax: | ||||||||
| Primary Practice Address | 2004 HARROW PL FAYETTEVILLE, NC 28304-5661 United States Phone: 973-902-9860 | Fax: | ||||||||
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