Individual
MS. RUBY DELISA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
327 HARRISON ST, CHARLOTTE, NC 28208-3117
(704) 726-2390
Mailing address
327 HARRISON ST, CHARLOTTE, NC 28208-3117
(704) 726-2390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29312
NC
Other
Enumeration date
03/03/2025
Last updated
05/21/2025
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