Individual
SYDNEY OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
7901 STRICKLAND RD STE 107, RALEIGH, NC 27615-3189
(919) 699-8395
Mailing address
203 E F ST, BUTNER, NC 27509-2052
(919) 699-8395
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12311A
NC
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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