Individual
ALECIA VICTORIA MITIGUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A
Contact information
Practice address
3000 HIGHWOODS BLVD STE 310, RALEIGH, NC 27604-1029
(919) 504-6338
Mailing address
287 SHADOWBARK DR, GARNER, NC 27529-6654
(203) 417-4176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014773
NC
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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