MONTAVIOUS BRYANT

LAKE CITY, FL
NPI1548621667
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW23131)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-03-17
Last Update Date2025-04-21
Business Address
MONTAVIOUS BRYANT LCSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 772-713-4301
Mailing Address
MONTAVIOUS BRYANT LCSW
4761 SW COUNTY ROAD 242
LAKE CITY, FL 32024-4426
Phone number: 772-713-4301
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