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1023837663
JALISA MAYNARD
RALEIGH, NC
NPI
1023837663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
JALISA MAYNARD
1520 BEACON RIDGE CT
RALEIGH, NC 27610-8820
Phone number: 919-720-3819
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Mailing Address
JALISA MAYNARD
1520 BEACON RIDGE CT APT 202
RALEIGH, NC 27610-8822
Phone number:
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