Individual
INGLE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 W CLUB BLVD OFC AREA3, DURHAM, NC 27701-1104
(919) 551-3459
Mailing address
411 WILLOW BROOK CT, MEBANE, NC 27302-8358
(919) 824-4386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A15219
NC
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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