Individual
AMANDA SOPHIA WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 PERRY RD, APEX, NC 27502-7701
(919) 446-5670
Mailing address
852 PERRY RD, APEX, NC 27502-7701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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