CHARLES BRYAN
Social Worker - Clinical
Active
Individual
NPI: 1689315111
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LMSW-27872 (ID) |
Frequently Asked Questions
NPI 1689315111 is the National Provider Identifier for CHARLES BRYAN, a Social Worker - Clinical provider located in Blackfoot, ID. This NPI was enumerated on April 6, 2022.
CHARLES BRYAN practices at 373 W HIGHWAY 39 STE 1, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1689315111
- Type
- Individual
- Enumerated
- Apr 6, 2022
- Last Updated
- Apr 6, 2022
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