Individual
CLARISSA OLIVIA GOODING-AYTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5169 TERN PL, FAYETTEVILLE, NC 28311-1981
(910) 813-3140
Mailing address
5169 TERN PL, FAYETTEVILLE, NC 28311-1981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016310
NC
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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