Individual
BRIANNA ELIZABETH DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1025 VINEHAVEN DR NE, CONCORD, NC 28025-2439
(704) 918-1343
Mailing address
2134 GLENWOOD ST, KANNAPOLIS, NC 28083-3043
(704) 960-2331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020760
NC
Other
Enumeration date
06/20/2024
Last updated
11/27/2024
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