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Organization
STILL WATERS THERAPY PLLC
Active
Organization
STILL WATERS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MANN LCSW (LICENSED CLINICIAN SOCIAL WORKER)
(910) 622-3418
Entity
Organization
Contact information
Practice address
13480 HWY 50/210, SUITE 213, SURF CITY, NC 28445-8609
(910) 622-3418
Mailing address
PO BOX 421, HOLLY RIDGE, NC 28445-0421
(910) 622-3418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010307
NC
Other
Enumeration date
06/08/2018
Last updated
08/07/2018
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