License holder summary

Pustay-Samples, Tanya M. is a Social Workers - Licensed Clinical Social Worker licensed to practice in North Carolina. The address on file for Pustay-Samples, Tanya M. is Fairfax, VA. This licensed professional license is not current. The license was granted 04/13/2007 and expired on 06/30/2011.

North Carolina

Secretary of State

Pustay-Samples, Tanya M.
Social Workers - Licensed Clinical Social Worker
License number
C005630
Date granted
04/13/2007
Date expires
06/30/2011
Class
Social Workers - Licensed Clinical Social Worker
Status
Expired
Address
Fairfax, VA
licensingnc.com
ID 19212591
LAST UPDATED 2024-05-08 21:55:12 UTC

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