Individual
BREEGAN LOREAL ELIZABETH LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7722
Mailing address
PO BOX 602368, CHARLOTTE, NC 28260-2368
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014840
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538806567
—
NC
Enumeration date
05/20/2022
Last updated
07/27/2022
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