Individual
CHARLES MAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5720 CREEDMOOR RD STE 201, RALEIGH, NC 27612-2383
(919) 977-6018
Mailing address
5720 CREEDMOOR RD STE 201, RALEIGH, NC 27612-2383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4581
NC
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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