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1497211296
CRYSTAL DEE BRYANT
MODESTO, CA
NPI
1497211296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-16
Last Update Date
2021-03-22
Business Address
CRYSTAL DEE BRYANT SUDCC
1116 ALICE ST
MODESTO, CA 95350-5905
Phone number: 209-578-3132
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Mailing Address
CRYSTAL DEE BRYANT SUDCC
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151
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