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Organization

FS I SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERYL KETNER LPC (OWNER)
(336) 542-2076
Entity
Organization

Contact information

Practice address
208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
(336) 542-2076
(336) 272-1182
Mailing address
208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
(336) 542-2076

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102159
NC
05
6102338
NC
05
6102356
NC
05
6102357
NC
05
6102405
NC
05
6103430
NC
05
6103633
NC
05
6103882
NC
05
6103923
NC
05
6104176
NC
05
6104302
NC
05
6106302
NC
Enumeration date
02/08/2007
Last updated
05/01/2012
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