Individual
MARY GRACE VIRGINIA MZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8522 SIX FORKS RD, SUITE 103, RALEIGH, NC 27615
(866) 314-2366
Mailing address
8522 SIX FORKS RD STE 103, RALEIGH, NC 27615-3098
(919) 621-3468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1383
NC
Other
Enumeration date
06/27/2011
Last updated
01/17/2022
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