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1912193160
SAMANTHA DIANE LEARY
WINSTON SALEM, NC
NPI
1912193160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1043)
Enumeration Date
2007-09-21
Last Update Date
2013-07-31
Business Address
-- SAMANTHA DIANE LEARY LCAS
725 HIGHLAND AVE
WINSTON SALEM, NC 27101-4206
Phone number: 336-607-8523
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Mailing Address
-- SAMANTHA DIANE LEARY LCAS
1305 S CANNON BLVD
KANNAPOLIS, NC 28083-6232
Phone number:
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