Individual
MRS. MARY MOUSSA SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1935 J N PEASE PL, SUITE 201, CHARLOTTE, NC 28262-4554
(704) 750-1570
Mailing address
1935 J N PEASE PL, SUITE 201, CHARLOTTE, NC 28262-4554
(704) 750-1570
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10047A
NC
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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