Individual
MISS QWENZELLA WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
12640 SOUTHWOOD DR, LAURINBURG, NC 28352
(910) 318-8555
(910) 266-0093
Mailing address
12640 SOUTHWOOD DR, LAURINBURG, NC 28352-8685
(910) 318-8555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2884A
NC
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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