Individual
DR. JESSICA BOISJOLI LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 HISTORIAN ST, RALEIGH, NC 27603-3489
(919) 274-1988
Mailing address
824 HISTORIAN ST, RALEIGH, NC 27603-3489
(919) 274-1988
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
4215
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
4215
NC
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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