Individual
MS. MARY CAGLE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1106 W CORNWALLIS RD, DURHAM, NC 27705-5748
(919) 417-0996
Mailing address
116 N WAKE ST, HILLSBOROUGH, NC 27278-2442
(919) 417-0996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2560
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107397
—
NC
Enumeration date
01/14/2007
Last updated
07/08/2007
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