SAMANTHA DIANE LEARY

WINSTON SALEM, NC
NPI1912193160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1043)
Enumeration Date2007-09-21
Last Update Date2013-07-31
Business Address
-- SAMANTHA DIANE LEARY LCAS
725 HIGHLAND AVE
WINSTON SALEM, NC 27101-4206
Phone number: 336-607-8523
Mailing Address
-- SAMANTHA DIANE LEARY LCAS
1305 S CANNON BLVD
KANNAPOLIS, NC 28083-6232
Phone number: