Individual
MRS. SAMANTHA SHANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 RIVER DR, WADESBORO, NC 28170-6515
(704) 294-5076
Mailing address
140 RIVER DR, WADESBORO, NC 28170-6515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NC
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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