Provider Demographics
NPI:1013557867
Name:KAMARA, SANDRA MAY (BSW, MSW, LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MAY
Last Name:KAMARA
Suffix:
Gender:F
Credentials:BSW, MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 E SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4318
Mailing Address - Country:US
Mailing Address - Phone:704-283-8548
Mailing Address - Fax:704-283-4664
Practice Address - Street 1:6601 BARRINGTON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-3401
Practice Address - Country:US
Practice Address - Phone:980-422-3210
Practice Address - Fax:704-283-4664
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPO13172106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty