Individual
MS. MARY L. MCCULLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 BUNN ST, ZEBULON, NC 27597-9177
(919) 796-5780
Mailing address
5641 QUAIL COVEY LN, WENDELL, NC 27591-7901
(919) 597-7965
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
05/07/2024
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