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1609582113
MALLORY GRAY LANE
RALEIGH, NC
NPI
1609582113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017703)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
MALLORY GRAY LANE LCSW-A
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609-5480
Phone number: 919-865-8710
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Mailing Address
MALLORY GRAY LANE LCSW-A
5000 FALLS OF NEUSE RD STE 300
RALEIGH, NC 27609-5480
Phone number: 919-865-8710
Copy
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