Individual
JOHN BRISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROGRAM COORDINATOR
Contact information
Practice address
2300 N PINE ST, LUMBERTON, NC 28358-3942
(910) 671-5407
Mailing address
2300 N PINE ST, LUMBERTON, NC 28358-3942
(910) 671-5407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408280
—
NC
Enumeration date
03/20/2007
Last updated
04/17/2008
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