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Individual

MRS. GINA SPARKS HOLMGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
546 SANDY CROSS RD, REIDSVILLE, NC 27320-7820
(336) 951-0000
Mailing address
1716 SPRINGHILL DR, BURLINGTON, NC 27217-8783
(336) 269-1013

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1921
NC

Other

Enumeration date
04/16/2009
Last updated
04/16/2009
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