Individual
MARY ANN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 BROAD ST, DURHAM, NC 27705-4144
(919) 286-6766
Mailing address
1306 PADDOCK DR STE E100, RALEIGH, NC 27609-4873
(919) 790-7775
(919) 790-9755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CSAC21548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568595510
—
NC
Enumeration date
09/20/2017
Last updated
06/16/2018
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