Individual
KEYARA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 S ASPEN ST, LINCOLNTON, NC 28092-3112
(980) 895-1037
Mailing address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
05/05/2025
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