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Individual

ESTHER WAYCAM MFONYAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
3705 LATROBE DR, SUITE 340, CHARLOTTE, NC 28211-4824
(704) 364-3989
Mailing address
7818A RENAISSANCE CT, CHARLOTTE, NC 28226-3932
(803) 530-0668

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
8052A
NC

Other

Enumeration date
12/18/2012
Last updated
12/18/2012
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