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Individual

SANDRA L EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS-A

Contact information

Practice address
10010 PLATTE XING UNIT 102, RALEIGH, NC 27617-9301
(919) 525-9110
Mailing address
10010 PLATTE XING UNIT 102, RALEIGH, NC 27617-9301
(919) 525-9110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27233
NC

Other

Enumeration date
10/20/2021
Last updated
10/20/2021
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