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Individual

BROOKLYN MEADOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
860 W 5TH ST, WINSTON SALEM, NC 27101-2506
(336) 355-8244
Mailing address
822 BROOKFORD PLACE CT, WINSTON SALEM, NC 27104-5712

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316362551
NPI
Enumeration date
10/06/2025
Last updated
10/06/2025
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