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Organization

MARY ANN MCGANNON, LPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MARY ANN M. MCGANNON LPC (OWNER)
(803) 431-6103
Entity
Organization

Contact information

Practice address
1122 SAM NEWELL RD, STE 103, MATTHEWS, NC 28105-5015
(803) 431-6103
Mailing address
770 PETERSBURG DR, FORT MILL, SC 29708-5708
(803) 431-6103

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2816
NC

Other

Enumeration date
01/20/2010
Last updated
01/20/2010
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