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Individual

DR. JAIMIE C ORNDORFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4910 RANDALL PKWY STE B, WILMINGTON, NC 28403-2827
(910) 515-4556
(910) 446-3668
Mailing address
4910 RANDALL PKWY STE B, WILMINGTON, NC 28403-2827
(910) 515-4556
(910) 446-3668

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
Primary
4233
NC
103TH0100X
Health Service Psychologist
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912545260
NPI2
Enumeration date
11/14/2006
Last updated
05/28/2021
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