Individual
AERIEL WYNNELL MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 CAROLINA ST STE 114, GREENSBORO, NC 27401-1090
(336) 542-2060
Mailing address
5328 W MARKET ST APT 54G, GREENSBORO, NC 27409-4246
(910) 554-8198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A20747
NC
Other
Enumeration date
02/12/2025
Last updated
02/14/2025
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