Individual
FALLON TYGER MACPHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 GRANT ST, WEST END, NC 27376-8377
(910) 673-3535
(910) 673-6565
Mailing address
210 STARLAND LN, SOUTHERN PINES, NC 28387-2973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9057
NC
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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