Individual
MRS. MARY BRISTOW UTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M. OF ED.
Contact information
Practice address
4000 OLEANDER DR, SUITE 2-A, WILMINGTON, NC 28403-6846
(910) 392-5889
Mailing address
409 W WINDWARD LANDING PL, HAMPSTEAD, NC 28443-2476
(910) 319-0090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5247
NC
Other
Enumeration date
06/18/2007
Last updated
08/05/2008
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