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Individual

MRS. REGINA GAIL MIDGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2002 EASTWOOD RD, STE 305, WILMINGTON, NC 28403-7218
(910) 509-0588
Mailing address
1008 CANAL DR APT 1B, CAROLINA BEACH, NC 28428-6000
(910) 386-6640

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7558
NC
101YP2500X
Professional Counselor
964
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6104734
NC
Enumeration date
09/28/2006
Last updated
05/24/2012
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