Individual
LESLIE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6238
(315) 453-3911
Mailing address
1650 US HIGHWAY 11 # 2, CASTLE CREEK, NY 13744-1104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
09/14/2021
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