Individual
WENDY L ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
300 COPPERFIELD BLVD NE STE 205-D, CONCORD, NC 28025-2428
(704) 425-8046
(704) 784-8733
Mailing address
5720 WOODRIDGE CT, CONCORD, NC 28027-8097
(704) 425-8046
(704) 784-8733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3416
NC
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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