Individual
SAMANTHA MAULKIE KAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4805 GREEN RD STE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223
Mailing address
4805 GREEN RD STE 103, RALEIGH, NC 27616-2848
(919) 872-6220
(919) 872-6223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28299
NC
1041C0700X
Clinical Social Worker
P017905
NC
Other
Enumeration date
09/13/2022
Last updated
09/28/2022
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