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1407352016
BREANNA ELDER SPARROW
WINSTON SALEM, NC
NPI
1407352016
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Former Name
BREANNA CATHLEEN SPARROW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A13770)
Enumeration Date
2018-04-03
Last Update Date
2022-10-20
Business Address
Mrs. BREANNA ELDER SPARROW LCMHC
2499 HENNING DR
WINSTON SALEM, NC 27106-4558
Phone number: 336-291-7477
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Mailing Address
Mrs. BREANNA ELDER SPARROW LCMHC
259 AZALEA DR
WINSTON SALEM, NC 27105-1789
Phone number:
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