Brady, Suzanne Marie

Brady, Suzanne Marie is an sole proprietor health care provider with primary practice located at Wake Forest Business Park, 839 Durham Highway 839 C, Suite C, Wake Forest NC 27587. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brady, Suzanne Marie can be contacted via phone (919) 801-0337.

Contact Information

Primary practice address
Wake Forest Business Park, 839 Durham Highway 839 C, Suite C Wake Forest NC 27587
Phone: (919) 801-0337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003403 North Carolina

Profile Details

NPI number 1891838587
LBN Legal business name Brady, Suzanne Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Mar 8th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891838587 NPPES
North Carolina MEDICAID 6002510

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