Individual
RAPHAEL WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4646 POPLAR AVE STE 302, MEMPHIS, TN 38117-4433
(901) 930-7397
Mailing address
6819 KERRI VALLEY LN, CORDOVA, TN 38018-2848
(662) 832-0933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005998
TN
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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