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1538378096
MARY ELLEN SMITH CONWAY
CHARLOTTE, NC
NPI
1538378096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C002511)
Enumeration Date
2007-05-22
Last Update Date
2009-06-24
Business Address
-- MARY ELLEN SMITH CONWAY LCSW,LMFT,LCAS
517 EAST BLVD SUITE201
CHARLOTTE, NC 28203-5109
Phone number: 704-554-8240
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Mailing Address
-- MARY ELLEN SMITH CONWAY LCSW,LMFT,LCAS
4420 MICKLETON RD
CHARLOTTE, NC 28226-5548
Phone number: 704-554-8240
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