Individual
MS. BLAKELY ELIZABETH MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, AGS
Contact information
Practice address
5842 FAYETTEVILLE RD STE 106, DURHAM, NC 27713-6294
(919) 572-0000
Mailing address
5842 FAYETTEVILLE RD STE 106, DURHAM, NC 27713-6294
(919) 572-0000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1236076
NC
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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