LAVENDER AVENUE THERAPEUTICS, PC

DURHAM, NC
NPI1891174181
Entity TypeOrganization
Authorized ContactJASMINE T IRVIN
President
919-302-2308
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NC  4548)
Enumeration Date2015-05-20
Last Update Date2015-05-20
Business Address
LAVENDER AVENUE THERAPEUTICS, PC
210 W LAVENDER AVE
DURHAM, NC 27704-4251
Phone number: 919-302-2308
Mailing Address
LAVENDER AVENUE THERAPEUTICS, PC
210 W LAVENDER AVE
DURHAM, NC 27704-4251
Phone number: 919-302-2308
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