Individual
MERRY LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
355 S MADISON BLVD, ROXBORO, NC 27573-5485
(336) 599-8366
(336) 322-6168
Mailing address
355 S MADISON BLVD, ROXBORO, NC 27573-5485
(336) 599-8366
(336) 322-6168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2858
NC
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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