Individual
BREANNA MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 PROVIDENCE LN STE 121, WINSTON SALEM, NC 27106-3226
(336) 896-1323
Mailing address
260 VILLAGE CREEK CIR APT H, WINSTON SALEM, NC 27104-4799
(980) 439-0230
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10907
SC
1041C0700X
Clinical Social Worker
Primary
P009491
NC
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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