Individual
MR. TERIQUE ANTOINE EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMRP,QDDP,QMHP
Contact information
Practice address
1127 CEDAR HURST DR. SUITE 270, RALEIGH, NC 27609-5487
(919) 790-7775
(919) 790-9755
Mailing address
8712 RIVER KEEPER WAY, RALEIGH, NC 27616
(919) 609-8686
(919) 790-9755
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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