Individual
MRS. DONNA JANE WOMACK-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
803 STAMPER RD STE G, FAYETTEVILLE, NC 28303-4193
(910) 223-7114
(910) 550-3803
Mailing address
1023 FAIRFIELD CIR, RAEFORD, NC 28376-6607
(910) 550-3803
(407) 479-3846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821460619
COMPSYCH
NC
05
—
1821460619
—
NC
Enumeration date
10/20/2015
Last updated
05/01/2019
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