Individual
TEAERIA GILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
7540 RAMBLE WAY STE 109, RALEIGH, NC 27616-4318
(919) 295-0177
Mailing address
1003 MULFORD CT UNIT 1460, KNIGHTDALE, NC 27545-0260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P022632
NC
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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