Individual
MRS. IRENE CARROS MAVROIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 LORD ANSON DR, WAXHAW, NC 28173-6808
(704) 651-5148
Mailing address
1101 REAL QUIET LN, WAXHAW, NC 28173-6586
(704) 400-7644
(704) 243-2676
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
NC
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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