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Individual

JENNIFER MUNOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 WEST, NC-54 SUITE 210, DURHAM, NC 27707
(407) 310-9269
Mailing address
1415 WEST, NC-54 BUILDING 200, SUITE 210, DURHAM, NC 27707
(073) 109-2694

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
P7219
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
5930
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/10/2008
Last updated
09/01/2021
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