Individual
CARRIE SACCO TALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
710 ATHENS AVE, 1, FAYETTEVILLE, NC 28301-4880
(910) 580-5534
Mailing address
710 ATHENS AVE, 1, FAYETTEVILLE, NC 28301-4880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P006811
NC
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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