Individual
CANDACE DENISE WOODCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1390 S 16TH ST, WILMINGTON, NC 28401-6422
(910) 851-5326
(910) 251-5324
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1788
NC
1041C0700X
Clinical Social Worker
Primary
C007369
NC
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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