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1659501583
LISA EILEEN BRACKEN
GREENSBORO, NC
NPI
1659501583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C006440)
Enumeration Date
2009-07-27
Last Update Date
2022-05-05
Business Address
LISA EILEEN BRACKEN LCSW
1393 PHIFER LUTHER CT
GREENSBORO, NC 27406-8277
Phone number: 336-404-2257
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Mailing Address
LISA EILEEN BRACKEN LCSW
1393 PHIFER LUTHER CT
GREENSBORO, NC 27406-8277
Phone number: 336-549-5256
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