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Individual

DR. KAMAL G ABULSAAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
410 NEW BRIDGE ST, SUTE 9-B, JACKSONVILLE, NC 28540-4739
(910) 455-4727
(910) 455-7676
Mailing address
410 NEW BRIDGE ST, SUTE 9-B, JACKSONVILLE, NC 28540-4739
(910) 455-4727
(910) 455-7676

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
702
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000023
NC
Enumeration date
05/19/2006
Last updated
07/08/2007
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