Individual
AMIRACLE STARR WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
2821 EVANS RD, APEX, NC 27502-9691
(984) 900-6841
Mailing address
2821 EVANS RD, APEX, NC 27502-9691
(984) 900-6841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
07/02/2024
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