Individual
KAILEY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. LP
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
1086 VIC KEITH RD, SANFORD, NC 27332-1157
(952) 426-2942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5665
NC
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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