Individual
MICHAEL KEITH TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, QP
Contact information
Practice address
1159 HUFFMAN MILL RD, BURLINGTON, NC 27215-8862
(336) 538-6990
(336) 538-6991
Mailing address
1159 HUFFMAN MILL RD, BURLINGTON, NC 27215-8862
(336) 538-6990
(336) 538-6991
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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