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1093231417
MALLORY HOPE COULTER
WINSTON SALEM, NC
NPI
1093231417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012513)
Enumeration Date
2017-08-17
Last Update Date
2023-01-13
Business Address
MALLORY HOPE COULTER LCSW
4555 OGBURN AVE
WINSTON SALEM, NC 27105-2726
Phone number: 336-703-4273
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Mailing Address
MALLORY HOPE COULTER LCSW
200 E 2ND AVE
GASTONIA, NC 28052-4358
Phone number: 704-874-1900
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