Individual
MS. STEPHANIE KIPP GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 933-3212
Mailing address
1309 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 933-3212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A12713
NC
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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