Individual
CONNIE MARIE ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20721 TORRENCE CHAPEL RD, CORNELIUS, NC 28031-6398
(704) 651-2779
Mailing address
7200 SWANSEA LN, CORNELIUS, NC 28031-8694
(704) 651-2779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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