Individual
SARAH GORDON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 WILLOW BRIDGE DR, DURHAM, NC 27707-5457
(919) 403-3536
Mailing address
45 WILLOW BRIDGE DR, DURHAM, NC 27707-5457
(919) 403-3536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7239
NC
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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