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Individual

SHARON LYNN NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LRT, CTRS

Contact information

Practice address
104 WESTBROOK DR, BUTNER, NC 27509-1633
(919) 575-5704
Mailing address
104 WESTBROOK DR, BUTNER, NC 27509-1633
(919) 575-5704

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
229
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NCRTBL229
STATE OF NORTH CAROLINA L
NC
Enumeration date
05/24/2007
Last updated
07/08/2007
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