Individual
CHERYL WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5800 CHOCTAW DR, GRANBURY, TX 76049-5234
(817) 219-6452
Mailing address
5800 CHOCTAW DR, GRANBURY, TX 76049-5234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61636
TX
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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