Most Relevant Information
Provider Data
NPI Number: | 1003342338 |
Provider Name: | BRYAN T ASTON LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 089566 |
Most Important Dates
Enumeration Date: | 05/05/2017 |
Last Updated: | 01/21/2022 |
Provider Practice Location
5300 NW 55TH BLVD APT 308
COCONUT CREEK
FL
330733785
Practice Location Phone/Fax
Phone: | 9174859664 |
Fax: |
Provider Mailing Location
5300 NW 55TH BLVD APT 308
COCONUT CREEK
FL
330733785
Provider Mailing Phone/Fax
Phone: | 9174859664 |
Fax: |