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Individual

MRS. SHANDER LASSITER MEADOWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1221 US HIGHWAY 258 N, COMO, NC 27818-9616
(252) 332-5900
(252) 332-5900
Mailing address
1221 US HIGHWAY 258 N, COMO, NC 27818-9616
(252) 332-5900
(252) 332-5900

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4929
NC
101YM0800X
Mental Health Counselor
4929
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103107
NC
Enumeration date
11/02/2006
Last updated
02/23/2012
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