Provider Information for 1063947430
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MARLYS RUTH KISER M.A., LPC-A, NCC
Sex: Female
NPI: 1063947430
Last Updated: 2017-04-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1063947430 | ||||||||
| Enumeration Date | 2017-04-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 207 QUEEN ST MORGANTON, NC 28655-3341 United States Phone: 828-439-8191 | Fax:828-439-2622 | ||||||||
| Primary Practice Address | 207 QUEEN ST MORGANTON, NC 28655-3341 United States Phone: 828-439-8191 | Fax:828-439-2622 | ||||||||
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