Provider Demographics
NPI:1184720054
Name:WOOLARD, JUNE ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:ELIZABETH
Last Name:WOOLARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 WATERS STREET
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962
Mailing Address - Country:US
Mailing Address - Phone:252-793-0372
Mailing Address - Fax:252-793-0374
Practice Address - Street 1:206 WATERS STREET
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962
Practice Address - Country:US
Practice Address - Phone:252-793-0372
Practice Address - Fax:252-793-0374
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0018731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
2864107Medicare ID - Type Unspecified