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Individual

DAVID A. KRUEGER ANDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
2224 LACY ST, BURLINGTON, NC 27215-5341
(336) 584-1744
(336) 538-2429
Mailing address
PO BOX 1252, ELON, NC 27244-1252
(336) 584-1744
(336) 538-2429

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2403
NC
103T00000X
Psychologist
308
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0464A
NC BCBS
NC
01
1030751
CIGNA BEHAVIORAL
NH
05
6000913
NC
Enumeration date
10/10/2006
Last updated
07/09/2007
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