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Contact Information

CHANEL BRYANT, LMSW
98 N 2ND ST STE 100
FULTON, NY13069-1254
 Phone: 315-326-3555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CHANEL BRYANT · (Female)

NPI # 1326682295
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 11/04/2019
Last updated 05/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 107930-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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