Individual
DR. TERESA SIRES MCILWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF MINISTRY
Contact information
Practice address
3325 WASHBURN AVE STE 121, CHARLOTTE, NC 28205-7024
(704) 370-7501
(704) 335-1047
Mailing address
3325 WASHBURN AVE STE 121, CHARLOTTE, NC 28205-7024
(704) 370-7501
(704) 335-1047
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
80
NC
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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