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Organization

STELLAR PEER SUPPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVELYN LANE SANDERS LCSW (EXECUTIVE DIRECTOR)
(919) 212-8580
Entity
Organization

Contact information

Practice address
440 W. MAIN STREET, CLAYTON, NC 27520
(919) 212-8580
(919) 212-8581
Mailing address
PO BOX 14144, RALEIGH, NC 27620-4144
(919) 212-8580
(919) 212-8581

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
04/03/2014
Last updated
04/03/2014
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