THEA WOOTEN

STATESVILLE, NC
NPI1083155154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  23390)
Enumeration Date2017-03-09
Last Update Date2017-03-09
Business Address
-- THEA WOOTEN MA, LCASA
612 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625-4353
Phone number: 704-872-0234
Mailing Address
-- THEA WOOTEN MA, LCASA
20014 NORTHPORT DR
CORNELIUS, NC 28031-6433
Phone number: 704-872-0234
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