Individual
TAMARA PUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 ANSLEY ST, ROCKY MOUNT, NC 27803-2104
(252) 885-1285
Mailing address
415 ANSLEY ST, ROCKY MOUNT, NC 27803-2104
(252) 885-1285
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
NC
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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