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Individual

MS. CARLY MARIE RAIMONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFTA

Contact information

Practice address
1209 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 860-0023
Mailing address
1209 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 860-0023

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8018A
NC

Other

Enumeration date
08/27/2012
Last updated
08/27/2012
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