Individual
SAMANTHA SETZER SULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
6412 BANNINGTON RD, CHARLOTTE, NC 28226-1327
(704) 996-0263
Mailing address
955 LYNNVIEW CT, KANNAPOLIS, NC 28081-5782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A8732
NC
Other
Enumeration date
07/18/2008
Last updated
01/17/2012
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