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Individual

MRS. JEAN L CAHOON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA LPA

Contact information

Practice address
127A OAKMONT DR, GREENVILLE, NC 27858
(252) 353-8990
(252) 353-5713
Mailing address
127A OAKMONT DR, GREENVILLE, NC 27858
(252) 353-8990
(252) 353-5713

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1627
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140WH
BLUE CROSS BLUE SHIELD
05
6107361
NC
Enumeration date
05/12/2006
Last updated
07/08/2007
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