Individual
CAROLINE JOLICOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4207 ALDWYCH ST, LUMBERTON, NC 28358-2462
(910) 735-1955
(910) 739-4042
Mailing address
4207 ALDWYCH ST, LUMBERTON, NC 28358-2462
(910) 735-1955
(910) 739-4042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301674
—
NC
Enumeration date
03/05/2007
Last updated
07/09/2007
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