Individual
AUTUMN SHERE' WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6900
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 445-6900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27676
NC
1041C0700X
Clinical Social Worker
Primary
C014214
NC
Other
Enumeration date
08/19/2019
Last updated
05/13/2024
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