Individual
JAYDE AINSLEE STANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 IRVING WAY, DURHAM, NC 27703-7612
(850) 319-9082
Mailing address
423 IRVING WAY, DURHAM, NC 27703-7612
(850) 319-9082
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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