Individual
BREANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 689-5539
Mailing address
1909 CARRIAGE HOUSE RD, FAYETTEVILLE, NC 28312-3401
(910) 689-5539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C016039
NC
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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