Individual
MRS. MARY ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
6245 CLIFFDALE RD, FAYETTEVILLE, NC 28314-2126
(808) 222-5174
Mailing address
179 IRONWOOD WAY, RAEFORD, NC 28376-6292
(808) 222-5174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P013056
NC
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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