Most Relevant Information
Provider Data
| NPI Number: | 1003423880 |
| Provider Name: | AMBER SIMERLY MAGLIOCCA LMBT, CPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2020 |
| Last Updated: | 09/25/2020 |
Provider Practice Location
410 NEW BRIDGE ST STE 7B
JACKSONVILLE
NC
285404759
Practice Location Phone/Fax
| Phone: | 7046687482 |
| Fax: |
Provider Mailing Location
506 WILLIAMS ST
JACKSONVILLE
NC
285404908
Provider Mailing Phone/Fax
| Phone: | 7046687482 |
| Fax: |