Mcgowan, Breanna
Mcgowan, Breanna is an individual health care provider with primary practice located at 4401 Providence Ln Ste 121 , Winston Salem NC 27106-3226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcgowan, Breanna can be contacted via phone (336) 896-1323.Contact Information
Primary practice address
4401 Providence Ln Ste 121
Winston Salem NC 27106-3226
Phone: (336) 896-1323
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 10907 | South Carolina |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P009491 | North Carolina |
Profile Details
NPI number | 1881048924 |
---|---|
LBN Legal business name | Mcgowan, Breanna |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2016 |
Last updated | Apr 14th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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