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Individual

MRS. ROBYN FORD EZZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPA

Contact information

Practice address
3812 ROCKING ROBYN RUN, KNIGHTDALE, NC 27545-8716
(919) 266-4358
(919) 217-0820
Mailing address
3812 ROCKING ROBYN RUN, KNIGHTDALE, NC 27545-8716
(919) 266-4358
(919) 217-0820

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2256
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107160
NC
Enumeration date
04/05/2006
Last updated
04/22/2015
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