Most Relevant Information
Provider Data
| NPI Number: | 1003531633 |
| Provider Name: | FELICIA SANDERS GUPTON MSW, LCSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P016903 |
Most Important Dates
| Enumeration Date: | 10/06/2022 |
| Last Updated: | 10/06/2022 |
Provider Practice Location
704 S GARNETT ST
HENDERSON
NC
275364511
Practice Location Phone/Fax
| Phone: | 2523955158 |
| Fax: |
Provider Mailing Location
1104 NC HIGHWAY 43
MACON
NC
275518913
Provider Mailing Phone/Fax
| Phone: | 2522269787 |
| Fax: |