Individual
DR. MAWIYAH KAMBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2949 NEW BERN AVE, RALEIGH, NC 27610-1248
(919) 231-2109
(919) 231-7221
Mailing address
PO BOX 46768, RALEIGH, NC 27620-6768
(919) 231-2109
(919) 231-7221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000073
—
NC
Enumeration date
10/05/2006
Last updated
07/09/2007
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