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Individual

JACQUELINE BELHUMEUR WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LPA

Contact information

Practice address
1064 MEADOWVIEW DR, STE 4, BOONE, NC 28607-4821
(804) 475-5503
Mailing address
1064 MEADOWVIEW DR, STE 4, BOONE, NC 28607-4821

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4957
NC

Other

Enumeration date
04/13/2016
Last updated
02/13/2020
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