Individual
MARY ELIZABETH TOTA-FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BALDWIN AVE, SUITE 100, CHARLOTTE, NC 28204-3227
(704) 316-1917
(704) 316-1924
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103
(336) 277-1065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1886
NC
103TR0400X
Rehabilitation Psychologist
Primary
1886
NC
Other
Enumeration date
09/14/2006
Last updated
08/28/2024
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