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Sam/outreach Program
Specialist in Lincolnton, North Carolina
NPI 1003145665

Sam/outreach Program is a Specialist based in Lincolnton, NC. Sam/outreach Program practices in Lincolnton, NC. The NPI Number for Sam/outreach Program is 1003145665 and holds a License No. MHL-055-114 (North Carolina).

The current practice location address for Sam/outreach Program is 114 E Main St, Lincolnton, NC and can be reached out via phone at 704-740-6512 and via fax at 704-735-4995.

Location: 114 E Main St, Lincolnton, NC, 28093-1710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003145665
Provider Name
Sam/outreach Program
Credential
Provider Entity Type
Organization
Address
114 E Main St, Lincolnton, NC, 28093-1710
Phone Number
704-740-6512
Fax Number
704-735-4995
Provider Enumeration Date
12/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 E Main St
City
Lincolnton
State
North Carolina
Zip
28092-2725
Phone Number
704-740-6512
Fax Number
704-735-4995
person
Provider Business Mailing Address Details
Address
114 E Main St
City
Lincolnton
State
North Carolina
Zip
28092-2725
Phone Number
704-740-6512
Fax Number
704-735-4995
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MHL-055-114 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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