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Individual

JACQUELINE FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176
(336) 695-3760
(336) 773-0332
Mailing address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3400
NC
103TC0700X
Clinical Psychologist
Primary
3400
NC

Other

Enumeration date
03/27/2006
Last updated
12/06/2011
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