Individual
BREANA ZHANE DANIELLE DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1496 HWY 701 N, ELIZABETHTOWN, NC 28337
(910) 343-0145
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017159
NC
Other
Enumeration date
02/03/2022
Last updated
04/14/2022
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