Individual
JODIMAE LYTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 CHARLES BLVD, GREENVILLE, NC 27858-5924
(252) 215-5705
(252) 215-5701
Mailing address
2428 CHARLES BLVD, GREENVILLE, NC 27858-5924
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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