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Organization
RENEW THERAPY ASSOCIATES, PLLC
Active
Organization
RENEW THERAPY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SUPERVILLE (OWNER)
(919) 271-8579
Entity
Organization
Contact information
Practice address
455 SWIFTSIDE DR, SUITE 102, CARY, NC 27518-7200
(919) 271-8579
Mailing address
3029 CANOPY WOODS DR, APEX, NC 27539-8794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005337
NC
Other
Enumeration date
01/07/2016
Last updated
05/09/2016
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