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Organization
SIERRA MENTAL WELLNESS, PLLC
Active
Organization
SIERRA MENTAL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMATA KOROMA (OWNER)
(919) 884-5306
Entity
Organization
Contact information
Practice address
1220 SE MAYNARD RD STE 202, CARY, NC 27511-6944
(919) 884-5306
Mailing address
7301 BIRCHSHIRE DR, RALEIGH, NC 27616-8209
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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