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Individual

JESSICA WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8801 J M KEYNES DR STE 440, CHARLOTTE, NC 28262-5483
(704) 537-9551
Mailing address
4914 KISTLER AVE, CHARLOTTE, NC 28205-7326
(740) 821-1442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P009470
NC

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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