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Individual

JILLIAN R TUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, PSYD

Contact information

Practice address
10430 HARRIS OAK BLVD STE L, CHARLOTTE, NC 28269-7513
(704) 317-2930
Mailing address
10430 HARRIS OAK BLVD STE L, CHARLOTTE, NC 28269-7513
(704) 317-2930

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6572
NC
103T00000X
Psychologist
SC
103TC0700X
Clinical Psychologist
6572
NC
103TC2200X
Clinical Child & Adolescent Psychologist
1680
SC

Other

Enumeration date
06/24/2021
Last updated
10/28/2024
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