Individual
MR. BRYAN JEROME SPEIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
4000 TUCKASEEGEE RD, CHARLOTTE, NC 28208-2832
(704) 523-5775
Mailing address
9600 HIGH FALLS LN APT 105, CHARLOTTE, NC 28262-1130
(252) 363-1781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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