Individual
KATHERINE WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
499 KEYWOOD CIR STE B, FLOWOOD, MS 39232-3001
(769) 208-3950
Mailing address
810 FAIRVIEW ST, JACKSON, MS 39202-1626
(434) 941-8961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8747
MS
Other
Enumeration date
09/26/2018
Last updated
11/20/2019
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