Individual
BRENDA GAILE CISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
696 N SPENCE AVE, GOLDSBORO, NC 27534-4354
(919) 330-4147
Mailing address
436 DOGWOOD TRL, GOLDSBORO, NC 27534-8944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A18988
NC
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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