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Organization
SPIRIT SONG, LLC
Active
Organization
SPIRIT SONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA NAFZIGER-SHELLY LCSW, BCD, MSW (OWNER, CHILD/ADOLESCENT THERAPIST)
(828) 324-4668
Entity
Organization
Contact information
Practice address
922 3RD AVE NW, HICKORY, NC 28601-4849
(828) 324-4668
(828) 324-4748
Mailing address
922 3RD AVE NW, HICKORY, NC 28601-4849
(828) 324-4668
(828) 324-4748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002094
—
NC
Enumeration date
08/26/2011
Last updated
08/26/2011
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