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1639421670
EDNA DANIELLE SAMPLE-RAGGINS
STATESVILLE, NC
NPI
1639421670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2654A)
Enumeration Date
2012-10-14
Last Update Date
2019-10-11
Business Address
Ms. EDNA DANIELLE SAMPLE-RAGGINS LCAS
209 BARIUM SPRINGS DR
STATESVILLE, NC 28677-8454
Phone number: 704-832-2200
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Mailing Address
Ms. EDNA DANIELLE SAMPLE-RAGGINS LCAS
PO BOX 1
BARIUM SPRINGS, NC 28010-0001
Phone number: 704-832-2200
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