Individual
LAURA LYNNE QUENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
Mailing address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6525
NC
103TC0700X
Clinical Psychologist
6525
NC
Other
Enumeration date
03/20/2024
Last updated
04/10/2024
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