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Organization
MARY ANN MCGANNON, LPC, LLC
Active
Organization
MARY ANN MCGANNON, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY ANN M. MCGANNON LPC (OWNER)
(803) 431-6103
Entity
Organization
Contact information
Practice address
1122 SAM NEWELL RD, STE 103, MATTHEWS, NC 28105-5015
(803) 431-6103
Mailing address
770 PETERSBURG DR, FORT MILL, SC 29708-5708
(803) 431-6103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2816
NC
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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