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Individual

MANDY L DIFELICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1437 MILITARY CUTOFF RD STE 210, WILMINGTON, NC 28403-3638
(910) 240-2489
Mailing address
1437 MILITARY CUTOFF RD STE 210, WILMINGTON, NC 28403-3638
(910) 240-2489

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30856
NC
1041C0700X
Clinical Social Worker
P022260
NC

Other

Enumeration date
12/19/2025
Last updated
12/19/2025
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