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Individual

MRS. JAIME LEE WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P-LCSW

Contact information

Practice address
33 SHARON LYNNE WAY, CLYDE, NC 28721-8285
(614) 961-2489
Mailing address
33 SHARON LYNNE WAY, CLYDE, NC 28721
(614) 961-2489

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P006474
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3410078
NC
Enumeration date
06/28/2011
Last updated
06/28/2011
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