Organization
MENDING MAPLE PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA JEAN MATNEY (LCSW/OWNER)
(712) 840-1272
Entity
Organization
Contact information
Practice address
905 E CLUB BLVD, DURHAM, NC 27704-4507
(712) 840-1272
Mailing address
905 E CLUB BLVD, DURHAM, NC 27704-4507
(712) 840-1272
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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