Individual
JACQUELYN G MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
342 KENNETH LN, WILLOW SPRING, NC 27592-6574
(919) 435-4110
Mailing address
342 KENNETH LN, WILLOW SPRING, NC 27592-6574
(919) 441-2785
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3310
NC
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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