Individual
MICHAL KELLY ELIZABETH TWEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008
Mailing address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
10/08/2019
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