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Individual

MS. JESSICA LEE TOMASULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 350-9713
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-9713
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4910
NC

Other

Enumeration date
12/08/2015
Last updated
08/29/2022
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