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1992052880
MARY ALICE GONZALES
WINSTON SALEM, NC
NPI
1992052880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A8900)
Enumeration Date
2012-08-09
Last Update Date
2014-05-02
Business Address
-- MARY ALICE GONZALES LPCA
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-725-8389
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Mailing Address
-- MARY ALICE GONZALES LPCA
665 W 4TH ST
WINSTON SALEM, NC 27101-2701
Phone number: 336-725-8389
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