MR. Charles William Bryant III III, PEER SUPPORT SPECIAL

NPI #1659762847 in Glen Burnie, Maryland

Provider Information

NPI Number: 1659762847
Entity Type: Individual
Name: MR. Charles William Bryant III III, PEER SUPPORT SPECIAL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PEER SUPPORT SPECIAL
Enumeration Date: Feb 10, 2015
Last Updated: Feb 10, 2015

Practice Location

Address: 600 E ORDNANCE RD
City: Glen Burnie
State: Maryland
ZIP Code: 21060-2200
Phone: (410) 222-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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