| Milicia Tedder | |
|
2004 Spring Creek Dr Durham NC 27704-4795 | |
| (919) 697-1674 | |
| Not Available |
| Full Name | Milicia Tedder |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2004 Spring Creek Dr, Durham, North Carolina |
| Authorized Official Name and Position | Milicia Tedder (LICENSED PSYCHOLOGICAL ASSOCIATE) |
| Authorized Official Contact | 9196971674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milicia Tedder 2004 Spring Creek Dr Durham NC 27704-4795 Ph: (919) 697-1674 | Milicia Tedder 2004 Spring Creek Dr Durham NC 27704-4795 Ph: (919) 697-1674 |
| NPI Number | 1013335348 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013335348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3735 (North Carolina) | Primary |
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