Individual
CONNOR BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
125 N TRADD ST, STATESVILLE, NC 28677-5280
(704) 201-9063
Mailing address
1019 E BOYD ST, MAIDEN, NC 28650-1725
(608) 843-9062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017707
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1060
—
NC
Enumeration date
06/28/2022
Last updated
06/28/2022
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