Provider Demographics
NPI:1699460881
Name:ALLEY, MILTON ODELL MOSES III (LCSWA)
Entity type:Individual
Prefix:MR
First Name:MILTON
Middle Name:ODELL MOSES
Last Name:ALLEY
Suffix:III
Gender:M
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FRIENDSHIP LN
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8514
Mailing Address - Country:US
Mailing Address - Phone:843-343-1300
Mailing Address - Fax:
Practice Address - Street 1:14 FRIENDSHIP LN
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-8514
Practice Address - Country:US
Practice Address - Phone:843-343-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical