Individual
MRS. BIANCA PATTERSON GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
656 LARKSPUR DR, FAYETTEVILLE, NC 28311-6955
(910) 822-4071
Mailing address
656 LARKSPUR DR, FAYETTEVILLE, NC 28311-6955
(910) 822-4071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005952
NC
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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