Individual
BRENDA BAMBINO KNIERIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233A MERCHANTS CIR STE 100, HAMPSTEAD, NC 28443-5419
(910) 297-7720
(883) 643-0176
Mailing address
108 CIRCLE DR, HAMPSTEAD, NC 28443-2108
(910) 297-7720
(833) 643-0176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C006712
NC SOCIAL WORK LICENSURE BOARD
NC
Enumeration date
03/11/2010
Last updated
03/23/2023
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