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Organization

CAROLINA BRAIN WELLNESS CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LYNN LUNDMARK RICHARDS PH.D. (NEUROPSYCHOLOGIST)
(919) 205-8325
Entity
Organization

Contact information

Practice address
131 CHARLOTTE AVE STE 101B, SANFORD, NC 27330-4363
(919) 205-8325
Mailing address
131 CHARLOTTE AVE STE 101B, SANFORD, NC 27330-4363
(919) 205-8325

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
06/17/2020
Last updated
06/17/2020
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