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Individual

DOUGLAS S BRIGHAM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3724 NATIONAL DR, SUITE 101, RALEIGH, NC 27612-4070
(919) 850-3410
(919) 850-9825
Mailing address
3724 NATIONAL DR, SUITE 101, RALEIGH, NC 27612-4070
(919) 850-3410
(919) 850-9825

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003198
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14106
BCBS PROVIDER NUMBER
NC
Enumeration date
06/10/2006
Last updated
07/08/2007
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