Individual
DR. JESSICA GROLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9201 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28223-0001
(704) 687-0328
(603) 455-6338
Mailing address
421 GRANTCHESTER CIR, CHARLOTTE, NC 28262-0431
(603) 455-6338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5027
NC
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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