Individual
BREAUNNA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
5040 NEW CENTRE DR STE D, WILMINGTON, NC 28403-1737
(910) 604-2302
Mailing address
1704 CHURCH ST, WILMINGTON, NC 28403-2163
(336) 705-3129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021486
NC
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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