Mr Bryant Odell Massenburg, LCSW | |
650 Huebner Rd, Ft Riley, KS 66442-4030 | |
(757) 535-6301 | |
Not Available |
Full Name | Mr Bryant Odell Massenburg |
---|---|
Gender | Male |
Speciality | Social Worker |
Location | 650 Huebner Rd, Ft Riley, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194938571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904006561 (Virginia) | Secondary |
104100000X | Social Worker | 0904006561 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Bryant Odell Massenburg, LCSW 650 Huebner Rd, Ft Riley, KS 66442-4030 Ph: (757) 535-6301 | Mr Bryant Odell Massenburg, LCSW 650 Huebner Rd, Ft Riley, KS 66442-4030 Ph: (757) 535-6301 |
Ms. Kay L. Ediger, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Caisson Hill Rd, Ft Riley, KS 66442 Phone: 785-239-7208 | |
Gretchen Treat Larchick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Ft Riley, KS 66442 Phone: 785-633-2026 |