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1215110010
MARY C SHACKELFORD
RALEIGH, NC
NPI
1215110010
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Former Name
MARY CROTTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C005799)
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
Ms. MARY C SHACKELFORD LCSW
3000 NEW BERN AVE
RALEIGH, NC 27610-1231
Phone number: 919-350-5798
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Mailing Address
Ms. MARY C SHACKELFORD LCSW
3000 NEW BERN AVE
RALEIGH, NC 27610-1231
Phone number: 919-350-5798
Copy
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