Individual
ALICIA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 S EUGENE ST APT 2B, GREENSBORO, NC 27406-1346
(336) 451-3398
Mailing address
1234 S EUGENE ST APT 2B, GREENSBORO, NC 27406-1346
(336) 451-3398
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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