Individual
MARGARET L INMAN CONRAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
104 S WHITE ST, STE 204, WAKE FOREST, NC 27587-2773
(919) 562-8088
(919) 562-8088
Mailing address
104 S WHITE ST, STE 204, WAKE FOREST, NC 27587-2773
(919) 562-8088
(919) 562-8088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046K6
BLUE CROSS BLUE SHIELD ID
NC
05
—
6000638
—
NC
Enumeration date
12/07/2005
Last updated
07/08/2007
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