Individual
MONTANA ROSE INGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1135 KILDAIRE FARM RD, STE 200, CARY, NC 27511
(919) 467-4782
Mailing address
1135 KILDAIRE FARM RD, STE 200, CARY, NC 27511
(919) 467-4782
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NC LPC 482
NC
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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