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Individual

AMBER MARIE PERRORAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13814 NC HIGHWAY 55, BAYBORO, NC 28515-9108
(770) 778-5644
Mailing address
216 GOLD LEAF DR, HAMPSTEAD, NC 28443-3586
(770) 778-5644

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15787
NC
101YP2500X
Professional Counselor
A15787
NC

Other

Enumeration date
07/16/2020
Last updated
01/07/2021
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