Individual
MS. ROSALINA TEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 E POWELL ST, CLINTON, NC 28328-3518
(910) 592-7451
(910) 221-5479
Mailing address
404 E POWELL ST, CLINTON, NC 28328-3518
(910) 592-7451
(910) 221-5479
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-082-056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301828
—
NC
Enumeration date
04/17/2007
Last updated
07/09/2007
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