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Individual

LISA M DEVORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
15720 BRIXHAM HILL AVE STE 300, CHARLOTTE, NC 28277-4784
(704) 412-8360
(704) 603-3006
Mailing address
15720 BRIXHAM HILL AVE STE 300, CHARLOTTE, NC 28277-4784
(704) 412-8360
(704) 603-3006

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1829
SC
103T00000X
Psychologist
Primary
4386
NC

Other

Enumeration date
07/14/2010
Last updated
01/23/2024
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