Individual
MS. KATHRYN WOOD LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1011 GUILFORD RD, CHARLOTTE, NC 28209-1204
(704) 333-8113
Mailing address
1011 GUILFORD RD, CHARLOTTE, NC 28209-1204
(704) 333-8113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2772
NC
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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