Individual
DR. DANIELLE FARESE MILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2014 PARK DR, CHARLOTTE, NC 28204-2400
(704) 728-9672
(704) 896-7975
Mailing address
12624 CORAL SUNRISE DR, HUNTERSVILLE, NC 28078-0339
(704) 728-9672
(704) 896-7975
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3021
NC
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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