Individual
BRANDON P COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2228
(910) 637-0051
Mailing address
25 TURTLE POINT RD, PINEHURST, NC 28374-9520
(919) 949-1112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P019421
NC
Other
Enumeration date
06/21/2022
Last updated
08/25/2023
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