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Individual

DR. JENNIFER CAROLYN PLUMB VILARDAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2200 W MAIN ST STE 340, DURHAM, NC 27705-4677
(919) 416-3439
Mailing address
2200 W MAIN ST STE 340, DURHAM, NC 27705-4677

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
5044
NC
103TC0700X
Clinical Psychologist
PY60393656
WA

Other

Enumeration date
06/19/2013
Last updated
03/17/2018
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