Leroy Bryan

NPI #1033745138 in Conyers, Georgia

Provider Information

NPI Number: 1033745138
Entity Type: Individual
Name: Leroy Bryan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 20, 2020
Last Updated: Mar 20, 2020

Practice Location

Address: 1175 GREEN ST SE
City: Conyers
State: Georgia
ZIP Code: 30012-5407
Phone: (770) 929-1470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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