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NPI Profile for SUZETTE P BRYAN in WOODWARD, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1962644112 |
|
| Status | Active | |
| Credentials | MAC, LPC CANDIDATE | |
| Entity | Individual | |
| Enumeration date | 04/02/2009 | |
| Last updated | 04/02/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SUZETTE P BRYAN
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SUZETTE P BRYAN, MAC, LPC CANDIDATE