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Individual
MS. SHIRLEY M. WOODARD
Active
Individual
MS. SHIRLEY M. WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
SW86551101P
IL
Other
Enumeration date
10/09/2007
Last updated
01/07/2008
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