Individual
MRS. LAURA J. HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 VALIANT AVE SW, CONCORD, NC 28027-2708
(704) 721-0218
Mailing address
3560 VALIANT AVE SW, CONCORD, NC 28027-2708
(704) 721-0218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6515
NC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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