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Individual

MRS. SAVANNAH MARIA TRIBOLET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS-A

Contact information

Practice address
919 15TH STREET NE, HICKORY, NC 28601
(828) 327-6026
(828) 327-8796
Mailing address
919 15TH STREET NE, HICKORY, NC 28601
(828) 327-6026
(828) 327-8796

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27918
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27918
LCAS-A
NC
Enumeration date
09/08/2022
Last updated
09/08/2022
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