Individual
BARBARA WARDWELL MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 MEMORIAL DR, PINEHURST, NC 28374-8712
(910) 295-6853
(910) 295-9183
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
375
NC
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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