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Individual

MARY ELIZABETH STALLINGS PIPPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPA, BCBA

Contact information

Practice address
1213 S WALNUT DR, SMITHFIELD, NC 27577-3621
(919) 971-3092
Mailing address
1213 S WALNUT DR, SMITHFIELD, NC 27577-3621
(919) 971-3092

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103T00000X
Psychologist
Primary
2505
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107707
NC
Enumeration date
12/14/2009
Last updated
03/10/2014
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