Individual
SAMANTHA MAYBERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
Mailing address
2212 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4228
(337) 353-4056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
P013045
NC
Other
Enumeration date
09/15/2016
Last updated
02/26/2019
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