Individual
AMANDA CARSON-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5015 SOUTHPARK DR STE 120, DURHAM, NC 27713-7736
(919) 323-1260
Mailing address
109 FALLENWOOD AVE, DURHAM, NC 27713-7111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5318
NC
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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