Organization
MAGNOLIA COUNSELING AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PETRINA GOODWIN LCSW (OWNER, THERAPIST)
(910) 297-6027
Entity
Organization
Contact information
Practice address
4010 OLEANDER DR, WILMINGTON, NC 28403-6841
(910) 297-6027
Mailing address
6814 WYCK FARM WAY, WILMINGTON, NC 28405-6108
(910) 297-6027
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/21/2023
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