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Individual

MR. JOHN RESENDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LPA, HSP-PA

Contact information

Practice address
610 BUTTONWOOD DR, HILLSBOROUGH, NC 27278-9488
(919) 732-9688
Mailing address
8390 SIX FORKS RD, SUITE 201, RALEIGH, NC 27615-3060
(919) 782-8730

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4252
NC

Other

Enumeration date
02/13/2012
Last updated
02/13/2012
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