Individual
LEE SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 S SHARON AMITY RD, CHARLOTTE, NC 28211-2800
(704) 364-9176
Mailing address
12304 OLD PRAIRIE RD, CHARLOTTE, NC 28277-4661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4887
NC
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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