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Individual
MS. WILLIE TYREE WOODS
Active
Individual
MS. WILLIE TYREE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801095499
MI
104100000X
Social Worker
Primary
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801095499
LLMSW
MI
Enumeration date
04/09/2015
Last updated
09/10/2015
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