Individual
AUTUMN JEAN LITTLEBRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
610 OCEAN HWY W, SUPPLY, NC 28462-4048
(910) 253-5885
Mailing address
PO BOX 281, BOLIVIA, NC 28422-0281
(910) 253-5885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017687
NC
Other
Enumeration date
07/11/2022
Last updated
07/28/2023
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