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Organization
MIND & MANE PLLC
Active
Organization
MIND & MANE PLLC
Active
Other names
Mind & Mane
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE TAI LCSWA, LCASA (CEO)
(443) 538-7275
Entity
Organization
Contact information
Practice address
3664 GENESIS LN, WAKE FOREST, NC 27587-6088
(443) 538-7275
Mailing address
3664 GENESIS LN, WAKE FOREST, NC 27587-6088
(443) 538-7275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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