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Individual

MS. GLADYS WILES LIPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
123 N CENTER ST, TAYLORSVILLE, NC 28681-2119
(828) 635-7371
Mailing address
141 TARRINGTON DR, STATESVILLE, NC 28625-2749
(704) 876-0272

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NBCC 219190
NC
101YM0800X
Mental Health Counselor
NBCC 219190

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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