Individual
MICHAELINE RAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1100 W MARKET ST, GREENSBORO, NC 27403-1830
(336) 334-3458
Mailing address
1100 W MARKET ST, GREENSBORO, NC 27403-1830
(336) 334-3458
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103306
NC
Other
Enumeration date
08/27/2015
Last updated
01/31/2019
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