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Individual

CORA HIETPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
9204 EISENHOWER DR., #200, APEX, NC 27539
(919) 589-3073
Mailing address
9204 EISENHOWER DR., #200, APEX, NC 27539
(919) 589-3073

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1596
NC

Other

Enumeration date
10/17/2014
Last updated
02/17/2015
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