Organization
HARLEY GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MOREDOCK MA, LPC (OWNER)
(910) 585-9074
Entity
Organization
Contact information
Practice address
185 WOOSTER RD, SOUTHERN PINES, NC 28387-2354
(910) 585-9074
Mailing address
185 WOOSTER RD, SOUTHERN PINES, NC 28387-2354
(910) 585-9074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8714
NC
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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