Amiracle Starr Wooden, LCSWA
Social Worker, Clinical in Apex, NC. Individual provider (NPI-1).
NPI number1295595023
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1295595023
- Entity type
- Individual (NPI-1)
- Name
- Amiracle Starr Wooden
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2024
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2821 Evans RdApex, NC 27502-9691
Phone 984-900-6841
Mailing address
2821 Evans RdApex, NC 27502-9691
Phone 984-900-6841
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