Individual
MRS. ELISA MAYES-MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 N REILLY RD STE 104, FAYETTEVILLE, NC 28303-5724
(910) 879-6102
(910) 882-8348
Mailing address
5900 CHASON RIDGE DR APT C, FAYETTEVILLE, NC 28314-4400
(215) 768-4824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010871
NC
Other
Enumeration date
12/01/2016
Last updated
12/08/2016
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