SUZANNE MACTAGGART MEDLIN

CHARLOTTE, NC
NPI1215228390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C006559)
Additional Taxonomies251S00000X 
(Licence: NC  C006559)
Enumeration Date2011-04-25
Last Update Date2012-06-12
Business Address
Mrs. SUZANNE MACTAGGART MEDLIN LCSW
3541 RANDOLPH RD SUITE 206
CHARLOTTE, NC 28211-1082
Phone number: 704-381-8336
Mailing Address
Mrs. SUZANNE MACTAGGART MEDLIN LCSW
PO BOX 601372
CHARLOTTE, NC 28260-1372
Phone number: 704-381-8336