Individual
SAMANTHA BOONE KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LFMTA
Contact information
Practice address
8392 SIX FORKS RD STE 202, RALEIGH, NC 27615-3061
(919) 995-6998
Mailing address
7005 RAINWATER RD, RALEIGH, NC 27615-7120
(919) 801-4674
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12444A
NC
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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