Individual
MIRANDA ELIZABETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCPSS
Contact information
Practice address
4010 LITTLEJOHN CHURCH RD, LENOIR, NC 28645-8563
(828) 201-0210
Mailing address
482 DOGWOOD ST, HUDSON, NC 28638-2303
(828) 201-0210
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2022-6851-01
NC
Other
Enumeration date
06/13/2022
Last updated
06/17/2022
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