Individual
MARY LAFRONDA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 HIDDEN FOREST DR, GREENSBORO, NC 27405-2779
(336) 690-8108
Mailing address
1703 HIDDEN FOREST DR, GREENSBORO, NC 27405-2779
(335) 690-8108
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
201215118
NC
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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