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Individual

SUSAN CHRISTINE GARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., L.P.A

Contact information

Practice address
127 OAKMONT DR # A, GREENVILLE, NC 27858-5937
(252) 353-8990
Mailing address
4175 DUDLEYS GRANT DR APT E, WINTERVILLE, NC 28590-8362
(252) 916-6291

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2576
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107383
NC
Enumeration date
11/24/2006
Last updated
07/09/2007
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