Individual
GWEN SAFRIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-P
Contact information
Practice address
1023 US HIGHWAY 17 S, SUITE 1, ELIZABETH CITY, NC 27909-9070
(252) 702-8865
Mailing address
1023 US HIGHWAY 17 S, SUITE 1, ELIZABETH CITY, NC 27909-9070
(252) 702-8865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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