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Individual

SANDRA BUNCH WALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, CNS

Contact information

Practice address
1990 ALLEN RD, SUITE B, GREENVILLE, NC 27834-0058
(252) 758-4554
(252) 758-5561
Mailing address
1990 ALLEN RD, SUITE B, GREENVILLE, NC 27834-0058
(252) 758-4554
(252) 758-5561

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
153
NC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0229130-37
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126AM
BCBS
NC
Enumeration date
10/11/2005
Last updated
07/01/2010
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