Individual
STEPHANIE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389
Mailing address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(336) 725-8389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12851
NC
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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