CHARMAINE SOPHIA-SAMARA FORD

CHARLOTTE, NC
NPI1821330390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  3164-A)
Additional Taxonomies104100000X Social Worker
Enumeration Date2013-03-22
Last Update Date2013-03-22
Business Address
-- CHARMAINE SOPHIA-SAMARA FORD LCAS-A
2106 AYRSLEY TOWN BLVD UNIT B
CHARLOTTE, NC 28273-4217
Phone number: 252-258-7627
Mailing Address
-- CHARMAINE SOPHIA-SAMARA FORD LCAS-A
2106 AYRSLEY TOWN BLVD UNIT B
CHARLOTTE, NC 28273-4217
Phone number: