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Individual

JENNIFER MOSS CORBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC, DOULA

Contact information

Practice address
3716 TABLE ROCK RD, CHARLOTTE, NC 28226-6644
(704) 540-2322
Mailing address
3716 TABLE ROCK RD, CHARLOTTE, NC 28226-6644
(704) 540-2322

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
102-18003
NC
374J00000X
Doula
Primary

Other

Enumeration date
07/27/2010
Last updated
03/14/2013
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