North Carolina
Secretary of State
Judith Deborah Modell
Psychology - Psychologist Provisional
License number
102547
Date granted
02/06/2004
Date expires
10/01/2016
Class
Psychology - Psychologist Provisional
Status
Current
Address
Durham, NC
licensingnc.com
ID 19189041
LAST UPDATED 2024-04-09 17:20:55 UTC
LAST UPDATED 2024-04-09 17:20:55 UTC
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