SAMANTHA BRYANNA-NORABUENA BAHENA
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1477370757- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 497 FARMINGTON RD, MOCKSVILLE, NC, 270287639
- Phone
- (336) 998-5555
- Fax
- (336) 998-7233
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NC #P021332