Individual
MRS. AGNES D. MAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
415 E 4TH ST, CHARLOTTE, NC 28202-2670
(704) 458-1167
Mailing address
PO BOX 29011, CHARLOTTE, NC 28229-9011
(704) 458-1167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1766
NC
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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