MATTHEW TELLIFERALD MILES

LUMBERTON, NC
NPI1104488402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  p013435)
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
MATTHEW TELLIFERALD MILES LCSW-A
2409 N ELM ST
LUMBERTON, NC 28358-3658
Phone number: 910-802-4365
Mailing Address
MATTHEW TELLIFERALD MILES LCSW-A
15081 HIGHWAY 130 E
FAIRMONT, NC 28340-5553
Phone number: 910-374-8118