Mahogany Place Pllc
NPI #1740831981 in Lillington, North Carolina
Provider Information
- NPI Number
- 1740831981
- Entity Type
- Organization
- Organization Name
- Mahogany Place Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 27, 2019
- Last Updated
- Sep 27, 2019
Practice Location
- Address
- 125 BELLA HOWINGTON DR
- City
- Lillington
- State
- North Carolina
- ZIP Code
- 27546-5666
- Phone
- (910) 808-1881
Authorized Official
- Name
- MRS. KELLISHA GRAY, MSW, LCSW
- Title
- ORGANIZER/MEMBER
- Phone
- (910) 808-1881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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