Individual
NIKKI GLADNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 FOUR SEASONS DRIVE, DURHAM, NC 27707-4724
(919) 294-8487
Mailing address
3704 FOUR SEASONS DR, DURHAM, NC 27707-4724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHL-032-497
NC
104100000X
Social Worker
MHL-032-497
NC
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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