Individual
BRIANNA NICOLE FLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
108 W FIRE TOWER RD, WINTERVILLE, NC 28590-8371
(252) 744-8342
(252) 744-1890
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015606
NC
1041C0700X
Clinical Social Worker
PENDING
NC
Other
Enumeration date
07/28/2020
Last updated
04/07/2026
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