Individual
MIYA BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
6230 FAIRVIEW RD, STE 290, CHARLOTTE, NC 28210-3258
(980) 335-0066
Mailing address
10412 HUGUE WAY, CHARLOTTE, NC 28214-8856
(980) 307-9538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P009807
NC
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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