KEITH SPENCER BRYAN

LONG BEACH, NY
NPI1871644575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R0410061)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Mr. KEITH SPENCER BRYAN LCSW
222 WEST MARKET ST
LONG BEACH, NY 11561
Phone number: 516-375-0192
Mailing Address
Mr. KEITH SPENCER BRYAN LCSW
222 WEST MARKET ST
LONG BEACH, NY 11561
Phone number: 516-432-1432
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