Organization
MARTINE LUNTZ
Active
Parent organization
CLARE A. STADLEN, LCSW, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARE A. STADLEN, LCSW, PLLC
Authorized official
CLARE ANDREA STADLEN LCSW, CEDS (LICENSED PSYCHOTHERAPIST)
(919) 602-6766
Entity
Organization
Contact information
Practice address
3622 LYCKAN PKWY, SUITE 3002, DURHAM, NC 27707-2564
(919) 602-6766
Mailing address
3622 LYCKAN PKWY, SUITE 3002, DURHAM, NC 27707-2564
(919) 602-6766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0098908
VT
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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