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Individual

SAMANTHA BURGGRAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCAS-A

Contact information

Practice address
2101 GARNER RD, SUITE 113, RALEIGH, NC 27610-4687
(919) 832-4453
(919) 829-1357
Mailing address
2101 GARNER RD, SUITE 113, RALEIGH, NC 27610-4687
(919) 832-4453
(919) 829-1357

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21754
NC

Other

Enumeration date
05/29/2015
Last updated
05/29/2015
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