Most Relevant Information
Provider Data
| NPI Number: | 1003594433 |
| Provider Name: | BRYELLE ALYSE GOLDEN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2023 |
| Last Updated: | 07/07/2023 |
Provider Practice Location
429 MANOR DR
EBENSBURG
PA
159314917
Practice Location Phone/Fax
| Phone: | 8144726060 |
| Fax: |
Provider Mailing Location
429 MANOR DR
EBENSBURG
PA
159314917
Provider Mailing Phone/Fax
| Phone: | 8144726060 |
| Fax: |