Individual
MRS. IRIS THOMAS FEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3408 CABARRUS DR, GREENSBORO, NC 27407-7324
(336) 632-0081
(336) 632-0081
Mailing address
3408 CABARRUS DR, GREENSBORO, NC 27407-7324
(336) 632-0081
(336) 632-0081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103354
—
NC
Enumeration date
04/03/2007
Last updated
07/09/2007
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