Individual
MS. MARCIA WILCOX BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
355 S MADISON BLVD STE C, ROXBORO, NC 27573-5485
(336) 234-9968
Mailing address
355 S MADISON BLVD STE C, ROXBORO, NC 27573-5485
(336) 234-9968
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
NC
Enumeration date
07/31/2013
Last updated
07/31/2013
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