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Individual

MARY COVINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2194-A HILLCREST PLAZA, RAEFORD, NC 28376-2114
(910) 904-2840
(910) 904-2847
Mailing address
2194-A HILLCREST PLAZA, RAEFORD, NC 28376-2114
(910) 904-2840
(910) 904-2847

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409665
NC
05
6601233
NC
05
8300217B
NC
05
8300635B
NC
Enumeration date
02/26/2008
Last updated
02/26/2008
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