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Individual

MISS BREANNA NICOLE CRISP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
360 N CASWELL RD # 303, CHARLOTTE, NC 28204-2442
(704) 981-2676
Mailing address
360 N CASWELL RD # 303, CHARLOTTE, NC 28204-2442

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014335
NC

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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