Individual
KELLY ANN WOODFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 SIMMON TREE RD, CHARLOTTE, NC 28270-0676
(704) 995-2900
Mailing address
13825 CONNELL GREEN DR, CHARLOTTE, NC 28213-3904
(704) 971-7553
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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