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Individual

BRANDIE HOLLIFIELD KEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LCAS, CCS

Contact information

Practice address
205 MEMORIAL DR, PINEHURST, NC 28374-8712
(910) 295-6853
(910) 295-9183
Mailing address
284 EXECUTIVE PARK DR, STE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22360
NC
1041C0700X
Clinical Social Worker
Primary
P010057
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IRA3HZN03140980
BCBS
NJ
Enumeration date
11/03/2015
Last updated
06/10/2022
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