Individual
MRS. FAYEDRA MUMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 871-0934
Mailing address
913 N CAROLINA AVE, STATESVILLE, NC 28677-3414
(704) 871-0934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9240
NC
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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