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Individual

AMANDA T WOOLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CRC, LPC

Contact information

Practice address
2245 STANTONSBURG RD, STE O, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 757-3172
Mailing address
4300 SAPPHIRE CT, STE 110, GREENVILLE, NC 27834-9019
(252) 830-7540
(252) 752-0074

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6949
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103846
NC
Enumeration date
07/02/2007
Last updated
09/19/2008
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