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Individual

MRS. TAMMY FAITH MARGESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA, LCASA

Contact information

Practice address
402 N MAIN ST, CREEDMOOR, CREEDMOOR, NC 27533
(919) 529-2724
Mailing address
300 W PARKVIEW DR, HENDERSON, NC 27536-5954
(252) 438-4145
(252) 438-6405

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20075
NC
101YP2500X
Professional Counselor
A10717
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3994
NC
Enumeration date
03/25/2011
Last updated
07/21/2022
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