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Crystal Renee Bryant

Case Manager/Care Coordinator in Ruston, LA. Individual provider (NPI-1).

NPI number1285468744
StatusActive
Last updated in NPPESAug 28, 2024

Details

NPI
1285468744
Entity type
Individual (NPI-1)
Name
Mrs. Crystal Renee Bryant
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2024
Certification date
Aug 28, 2024
Last updated
Aug 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

305 E Mississippi Ave
Ruston, LA 71270-3905

Phone 318-202-3706 · Fax 318-202-3707

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455

Phone 318-202-3706

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