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1770079162
STEPHANIE ANN BRYAN
BEND, OR
NPI
1770079162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
STEPHANIE ANN BRYAN QMHP
1195 NW WALL ST
BEND, OR 97703-1965
Phone number: 541-728-0062
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Mailing Address
STEPHANIE ANN BRYAN QMHP
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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