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Organization
WOODLAKE PSYCHOLOGICAL AND PSYCHIATRIC ASSOCIATES, PLLC
Active
Organization
WOODLAKE PSYCHOLOGICAL AND PSYCHIATRIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA STONE POLINSKY LCSW (OFFICE MANAGER)
(336) 889-6800
Entity
Organization
Contact information
Practice address
725 W MAIN ST, JAMESTOWN, NC 27282-7506
(336) 889-6800
(336) 889-6800
Mailing address
PO BOX 772, JAMESTOWN, NC 27282-0772
(336) 889-6800
(336) 889-6800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1242
NC
1041C0700X
Clinical Social Worker
Primary
COOO666
NC
Other
Enumeration date
05/21/2006
Last updated
12/01/2009
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