Individual
DANIEL PROBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 WADE AVE, SUITE 100, RALEIGH, NC 27605-1390
(919) 443-2360
Mailing address
606 WADE AVE, SUITE 100, RALEIGH, NC 27605-1390
(919) 443-2360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4920
NC
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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