Organization
BREAKWATER THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA DAVIS MSW, LCSW, LCAS (OWNER)
(252) 229-7956
Entity
Organization
Contact information
Practice address
330 MILITARY CUTOFF RD STE A4, WILMINGTON, NC 28405-8303
(252) 229-7956
Mailing address
5741 HIGHGROVE PL, WILMINGTON, NC 28409-4257
(252) 229-7956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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