Qwenzella Wynn LCAS-A

NPI 1215375563 - Counselor - 101YA0400X

NPI Details
NPI 1215375563
Gender Female
Enumeration Date 06/10/2013
Last Updated 06/10/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
12640 SOUTHWOOD DR
LAURINBURG NC, 28352, US
Phone (910) 318-8555
Fax (910) 266-0093
Business Location
12640 SOUTHWOOD DR
LAURINBURG NC, 28352-8685, US
Phone (910) 318-8555
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State North Carolina
License Number 2884A
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According to our database, Miss Qwenzella Wynn LCAS-A NPI is 1215375563, taxonomy code is 101YA0400X and license number is 2884A, license state is located at North Carolina. Qwenzella Wynn LCAS-A physically located at 12640 Southwood Dr, Laurinburg NC, 28352. NPI Number Qwenzella Wynn LCAS-A has the Individual type.

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1215375563 NPI number is provided on an as is basis without warranty of any kind. 1215375563 is maintained by the National Plan & Provider Enumeration System. The contents of Qwenzella Wynn LCAS-A are for informational purposes only.