Individual
KRISTIN WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CAMP MACKALL, FORT BRAGG, NC 28310-0001
(910) 432-4407
Mailing address
350 HIGHLAND RD, SOUTHERN PINES, NC 28387
(910) 246-6327
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1065
AL
Other
Enumeration date
03/01/2006
Last updated
07/08/2007
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