Individual
KORTNEY DANIELLE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2102 WEST LOOP 289, APARTMENT 104 BUILDING 23, LUBBOCK, TX 79407
(225) 328-7511
Mailing address
2102 WEST LOOP 289, APARTMENT 104 BUILDING 23, LUBBOCK, TX 79407
(225) 328-7511
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
40206
TX
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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