MS. Genevi J Age, LCAS-A
NPI #1053822130 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1053822130
- Entity Type
- Individual
- Name
- MS. Genevi J Age, LCAS-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Addiction (Substance Use Disorder)
- Credential
- LCAS-A
- Enumeration Date
- Oct 17, 2017
- Last Updated
- Oct 17, 2017
Practice Location
- Address
- 5233 SUNDANCE WAY UNIT 101
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28409-5771
- Phone
- (910) 649-4964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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