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Organization

CRANDELL'S ENTERPRISES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SANDRA MAYO (COO/CFO)
(919) 790-7663
Entity
Organization

Contact information

Practice address
7112 OUTRIGGER DR, WENDELL, NC 27591-7240
(919) 626-0079
Mailing address
5312 SIX FORKS RD, SUITE 301, RALEIGH, NC 27609-4458

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHL 092-882
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804626
NC
Enumeration date
12/20/2013
Last updated
03/08/2021
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