Individual
HEATHER JEAN LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-8120
Mailing address
3004 GREYSTONE PT, UNIT B, GREENSBORO, NC 27410-8949
(336) 587-6770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6852
NC
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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