Individual
MR. KENNETH EARL SAMUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13180 GASTON AVE, LAURINBURG, NC 28352-5952
(910) 318-2176
Mailing address
13180 GASTON AVE, LAURINBURG, NC 28352-5952
(910) 318-2176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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