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Individual

MRS. ANDRA DAWN WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBSW

Contact information

Practice address
10599 FOX CIR, SEWARD, AK 99664
(907) 491-1581
(360) 868-1461
Mailing address
PO BOX 2076, SEWARD, AK 99664-2076
(907) 224-5850
(360) 868-1461

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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