Individual
MS. MADISON WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 CANDLEBERRY CT, CHARLOTTE, NC 28210-7903
(980) 428-1728
Mailing address
2801 CANDLEBERRY CT, CHARLOTTE, NC 28210-7903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1256779
NC
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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