Individual
MS. BRENDINA D TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
Mailing address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143A9
LCSW
NC
05
—
6106005
—
NC
Enumeration date
12/15/2006
Last updated
07/09/2007
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