Individual
ANNETTE S LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
709 NORTHEAST DR, UNIT 23, DAVIDSON, NC 28036-7430
(980) 328-4255
Mailing address
PO BOX 913, WADESBORO, NC 28170-0913
(980) 328-4255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3501
NC
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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