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Individual

BRYANNA STODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
7913 AVERETTE HILL DR, RALEIGH, NC 27616-5491
(202) 997-6623
Mailing address
7913 AVERETTE HILL DR, RALEIGH, NC 27616-5491
(202) 997-6623

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
P010687
NC

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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