Individual
MS. MILICIA TEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 ALPINE RD, DURHAM, NC 27707-3970
(919) 697-1674
(919) 493-2086
Mailing address
2212 ALPINE RD, DURHAM, NC 27707-3970
(919) 697-1674
(919) 493-2086
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3735
NC
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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