Most Relevant Information
Provider Data
NPI Number: | 1003248329 |
Provider Name: | AMY LYNN BRYAN LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | C008586 |
Most Important Dates
Enumeration Date: | 08/09/2013 |
Last Updated: | 04/29/2016 |
Provider Practice Location
4000 WAKE FOREST RD
SUITE 200
RALEIGH
NC
276096879
Practice Location Phone/Fax
Phone: | 9198658710 |
Fax: |
Provider Mailing Location
4000 WAKE FOREST RD
SUITE 200
RALEIGH
NC
276096879
Provider Mailing Phone/Fax
Phone: | 9198658710 |
Fax: |