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Organization
IN SESSION THERAPEUTIC SERVICES
Active
Organization
IN SESSION THERAPEUTIC SERVICES
Active
Other names
Trinity Salazar
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA MARTHA MAYBERN LCSW (SOCIAL WORKER)
(337) 353-4056
Entity
Organization
Contact information
Practice address
180 WARREN LAKE RD, ABERDEEN, NC 28315-7058
(910) 973-6423
Mailing address
180 WARREN LAKE RD, ABERDEEN, NC 28315-7058
(910) 973-6423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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