Individual
MRS. PRISCILLA A WIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
2260 BALLSTON PL, KNIGHTDALE, NC 27545-7477
(919) 266-7986
Mailing address
2260 BALLSTON PL, KNIGHTDALE, NC 27545-7477
(919) 266-7986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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