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Individual
MR. PAUL ANTHONY WOODARD
Active
Individual
MR. PAUL ANTHONY WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006359
TRICARE
VA
05
—
004945123
—
VA
01
—
089857
SENTARA
VA
01
—
287193
ANTHEM
VA
01
—
291352
MDIPA
VA
Enumeration date
05/04/2006
Last updated
08/03/2010
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