Individual
MRS. ANDRA DAWN WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105894
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105894
ALASKA STATE LICENSE
AK
Enumeration date
07/05/2018
Last updated
05/19/2021
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