Individual
MRS. EMILY WOODS ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
973 PLANTATION TRAIL, GASTONIA, NC 28056
(704) 689-9879
Mailing address
973 PLANTATION TRL, GASTONIA, NC 28056-7948
(704) 689-9879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A18521
NC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
09/27/2024
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