Individual
MS. MARY LETHER GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8506 SIX FORKS RD STE 202, RALEIGH, NC 27615-3260
(919) 297-2762
(910) 500-5238
Mailing address
300 LOREASE DR, DUDLEY, NC 28333-9771
(910) 990-3316
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024062231
NC
Other
Enumeration date
08/15/2024
Last updated
02/11/2026
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