Individual
IKE OSUORJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 N ALSTON AVE, DURHAM, NC 27701-2301
(919) 641-2791
(984) 219-6212
Mailing address
4901 PACES FERRY DR, DURHAM, NC 27712-4103
(919) 641-2791
(984) 219-6212
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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