Individual
MARISOL MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 NEEDLERUSH RD, SNEADS FERRY, NC 28460-5401
(000) 000-0000
Mailing address
935 NEEDLERUSH RD, SNEADS FERRY, NC 28460-5401
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NC
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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