Individual
MRS. JENNIFER ANN SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7145 MEADOW GATE DR, APEX, NC 27502-8768
(919) 363-4635
Mailing address
7145 MEADOW GATE DRIVE, APEX, NC 27502-8768
(919) 363-4635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
626
NC
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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