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Individual

MR. ROY JAMES HADDOCK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPA

Contact information

Practice address
559 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5194
(910) 624-3094
(910) 323-4746
Mailing address
636 WHISPERING PINES DR, SPRING LAKE, NC 28390-7039
(910) 624-3094

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1735
NC

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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