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Provider Information for 1952849457


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Mrs. BERSUADA SAUNDERS-CLARKE


Sex: Female

NPI: 1952849457
Last Updated: 2017-02-03
Certification Date:

Details

NameValue
NPI1952849457
Enumeration Date2017-02-03
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 351 WAGONER DR
SUITE 324
FAYETTEVILLE, NC 28303-4608
United States

Phone: 910-502-3225 | Fax:910-321-8563
 
Primary Practice Address 351 WAGONER DR
SUITE 324
FAYETTEVILLE, NC 28303-4608
United States

Phone: 910-502-3225 | Fax:910-321-8563
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist NC