Individual
LUISA ALEJANDRA YDROVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 REYNOLDA RD, WINSTON SALEM, NC 27106-4626
(336) 291-7477
Mailing address
264 WOOD DUCK RUN, LEXINGTON, NC 27295-8263
(336) 880-0276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13579
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/10/2017
Last updated
03/17/2018
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