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1730714163
SANDRA LOURDES MAYTA
STATESVILLE, NC
NPI
1730714163
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Former Name
SANDRA CASTILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 15608)
Enumeration Date
2020-03-05
Last Update Date
2022-07-12
Business Address
SANDRA LOURDES MAYTA LCMHC, NCC
1450 FERN CREEK DRIVE
STATESVILLE, NC 28625
Phone number: 704-237-4240
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Mailing Address
SANDRA LOURDES MAYTA LCMHC, NCC
12512 WALDEN LEA DR
HUNTERSVILLE, NC 28078-2241
Phone number:
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