Individual
MRS. BREANNA ELDER SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
2499 HENNING DR, WINSTON SALEM, NC 27106-4558
(336) 291-7477
(336) 217-8044
Mailing address
259 AZALEA DR, WINSTON SALEM, NC 27105-1789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13770
NC
Other
Enumeration date
04/03/2018
Last updated
10/20/2022
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