Organization
MILICIA A. TEDDER
Active
Other names
Milicia A. Tedder
Organization subpart
No
Provider details
NPI number
Authorized official
MILICIA TEDDER (LPA)
(336) 569-0420
Entity
Organization
Contact information
Practice address
115 E HARDEN ST STE 103, GRAHAM, NC 27253-3001
(336) 569-0420
Mailing address
4093 DUNKIRK DR, BURLINGTON, NC 27215-0106
(919) 697-1674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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