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Individual

LETONYA LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5720 FAYETTEVILLE RD, DURHAM, NC 27713-9089
(919) 484-9931
Mailing address
1415 W NC HIGHWAY 54, SUITE 101, DURHAM, NC 27707-5577
(919) 402-0120

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2499
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107258
NC
Enumeration date
09/20/2006
Last updated
07/08/2007
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