Provider Information for 1609427970
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DELIA ANN NILES MSW, LCSW-A
Other Names:Other Name:DELIA ANN DIEGUE MSW, LCSW-ASex: Female
NPI: 1609427970
Last Updated: 2019-09-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1609427970 | ||||||||
| Enumeration Date | 2019-09-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3317 BURBERRY DR FAYETTEVILLE, NC 28306-6208 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 3317 BURBERRY DR FAYETTEVILLE, NC 28306-6208 United States Phone: 910-638-6419 | Fax: | ||||||||
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