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Individual

STEPHANIE LEE LEWALLEN-OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
J.D., PH.D.

Contact information

Practice address
111 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(919) 250-1500
Mailing address
119 DANFORTH DR, CARY, NC 27511-3184
(650) 759-9166

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4572
NC

Other

Enumeration date
02/18/2016
Last updated
02/18/2016
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