Individual
JOCELYN WOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 N 20TH PL APT 7, INDEPENDENCE, KS 67301-8658
(937) 408-8293
Mailing address
2395 N 20TH PL APT 7, INDEPENDENCE, KS 67301-8658
(937) 408-8293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 10001
OH
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013277
—
WV
Enumeration date
10/21/2008
Last updated
04/05/2023
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