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Individual

SAMUEL S. ALLEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
2609 N DUKE ST, DURHAM, NC 27704-3019
(919) 313-0260
(919) 313-0299
Mailing address
PO BOX 3381, ROXBORO, NC 27573-3381
(919) 313-0260

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2904
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2342249
GROUP MEDICARE
NC
Enumeration date
06/14/2006
Last updated
07/08/2007
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