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Organization
SHARE SELF CARE LLC
Active
Organization
SHARE SELF CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL NICOLE COWAN (OWNER)
(336) 804-9936
Entity
Organization
Contact information
Practice address
4035 UNIVERSITY PKWY STE 214, WINSTON SALEM, NC 27106-3757
(336) 804-9936
Mailing address
4035 UNIVERSITY PKWY STE 214, WINSTON SALEM, NC 27106-3757
(336) 804-9936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
09/23/2026
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