BENJAMIN MATTHEW BRYAN

MEDFORD, OR
NPI1306912324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L5304)
Enumeration Date2006-11-28
Last Update Date2024-02-07
Business Address
BENJAMIN MATTHEW BRYAN LCSW
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
BENJAMIN MATTHEW BRYAN LCSW
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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