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1609253681
MARISHA LARAE MATHIS
RALEIGH, NC
NPI
1609253681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C009792)
Enumeration Date
2015-04-29
Last Update Date
2018-11-01
Business Address
MARISHA LARAE MATHIS LCSW
4000 WAKE FOREST RD STE 200
RALEIGH, NC 27609-6859
Phone number: 919-865-8710
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Mailing Address
MARISHA LARAE MATHIS LCSW
5010 GARRETT RD APT 534
DURHAM, NC 27707-5950
Phone number: 919-824-6016
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