Individual
MARY BARBARA STAUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
425 7TH AVE SW, HICKORY, NC 28602-3237
(828) 327-6633
Mailing address
PO BOX 175, ROCKWELL, NC 28138-0175
(704) 279-0474
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1771
NC
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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