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Organization

BULL CITY PSYCHOTHERAPY, PLLC

Active
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Organization

BULL CITY PSYCHOTHERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SOPHIA DORTON CAUDLE PHD, LPC-S (OWNER/CLINICAL DIRECTOR)
(919) 698-7061
Entity
Organization

Contact information

Practice address
1816 FRONT ST STE 250, DURHAM, NC 27705-2598
(919) 382-0288
Mailing address
1816 FRONT ST STE 250, DURHAM, NC 27705-2598
(919) 382-0288

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3539
NC

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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