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1912636309
JENNA ANN BRACKMAN
REIDSVILLE, NC
NPI
1912636309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
JENNA ANN BRACKMAN
3580 NC HIGHWAY 14
REIDSVILLE, NC 27320-8746
Phone number: 336-276-2022
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Mailing Address
JENNA ANN BRACKMAN
3580 NC HIGHWAY 14
REIDSVILLE, NC 27320-8746
Phone number: 336-276-2022
Copy
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