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Individual

ELYSE REED THAKUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1225 HARDING PL, STE 5100, CHARLOTTE, NC 28204-2826
(704) 355-8850
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5440
NC

Other

Enumeration date
05/11/2017
Last updated
07/15/2024
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