Provider Information for 1629431945
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MATRICE MORRISON LPCA
Sex: Female
NPI: 1629431945
Last Updated: 2016-04-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1629431945 | ||||||||
| Enumeration Date | 2016-04-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4185 HEARTHSIDE DR APARTMENT 101 WILMINGTON, NC 28412-8345 United States Phone: 910-352-7369 | Fax: | ||||||||
| Primary Practice Address | 4185 HEARTHSIDE DR APARTMENT 101 WILMINGTON, NC 28412-8345 United States Phone: 910-352-7369 | Fax: | ||||||||
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