Provider First Line Business Practice Location Address:
1396 OLD MILL CIRCLE
Provider Second Line Business Practice Location Address:
SOTILE PSYCHOLOGICAL ASSOCIATES, PLLC
Provider Business Practice Location Address City Name:
WINSTON-SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-765-3032
Provider Business Practice Location Address Fax Number:
336-760-6977
Provider Enumeration Date:
06/13/2006