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1407090707
SOUTHEAST PSYCHOLOGICAL SERVICES PLLC
CHARLOTTE, NC
NPI
1407090707
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Entity Type
Organization
Authorized Contact
JANET H IYOOB
CFO
704-552-0116
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NC 5021)
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
SOUTHEAST PSYCHOLOGICAL SERVICES PLLC
8840 BLAKENEY PROFESSIONAL DR SUITE 200
CHARLOTTE, NC 28277-6718
Phone number: 704-552-0116
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Mailing Address
SOUTHEAST PSYCHOLOGICAL SERVICES PLLC
6115 PARK SOUTH DR SUITE 130
CHARLOTTE, NC 28210-3269
Phone number: 704-552-0116
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