Individual
BREANNA LEE BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 SPRING DR, ROCKINGHAM, NC 28379-8007
(910) 995-4184
Mailing address
143 SPRING DR, ROCKINGHAM, NC 28379-8007
(910) 995-4184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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