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Individual
MRS. BRENDA LOUISE WOODS
Active
Individual
MRS. BRENDA LOUISE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009926600
—
FL
01
—
012377300
GROUP MEDICAID NUMBER
FL
Enumeration date
02/06/2008
Last updated
07/07/2015
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