Individual
MR. BRYAN M HORNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
191 NORTH NC HWY 41, BEULAVILLE, NC 28518
(910) 298-6207
(910) 298-6293
Mailing address
191 NORTH NC HWY 41, PO BOX 1321, BEULAVILLE, NC 28518
(910) 298-6207
(910) 298-6293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
NEWLY LICENSED INDIVIDUAL
NC
Enumeration date
06/16/2006
Last updated
07/08/2007
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