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Organization

MILICIA TEDDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILICIA TEDDER (LICENSED PSYCHOLOGICAL ASSOCIATE)
(919) 697-1674
Entity
Organization

Contact information

Practice address
2004 SPRING CREEK DR, DURHAM, NC 27704-4795
(919) 697-1674
Mailing address
2004 SPRING CREEK DR, DURHAM, NC 27704-4795
(919) 697-1674

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3735
NC

Other

Enumeration date
04/03/2014
Last updated
04/03/2014
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