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Individual

CHLOE 1 WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3432 S LAFOUNTAIN ST STE C, KOKOMO, IN 46902
(765) 286-5773
Mailing address
3423 S LAFOUNTAIN ST STE C, KOKOMO, IN 46902-3857

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
33010075A
IN
1041C0700X
Clinical Social Worker
Primary
34010785A
IN

Other

Enumeration date
07/28/2017
Last updated
06/20/2024
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