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Organization

DRAGONFLY HOUSE CHILDRENS ADVOCACY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRANDI REAGAN (DIRECTOR)
(336) 753-6155
Entity
Organization

Contact information

Practice address
387 VALLEY RD, MOCKSVILLE, NC 27028
(336) 753-6155
(336) 753-8868
Mailing address
387 VALLEY RD, MOCKSVILLE, NC 27028
(336) 753-6155
(336) 753-8868

Taxonomy

Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
251V00000X
Voluntary or Charitable Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5917088
NC
Enumeration date
09/08/2010
Last updated
05/02/2023
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