Individual
MARY DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8305 SIX FORKS RD STE 207, RALEIGH, NC 27615-3007
(919) 200-0302
Mailing address
5105 DEER LAKE TRL, WAKE FOREST, NC 27587-8847
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10242A
NC
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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