Individual
EDWARD WOODFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4510 NIWOT RD, LONGMONT, CO 80503-8821
(484) 885-3694
Mailing address
PO BOX 1048, NEDERLAND, CO 80466-1048
(484) 885-3694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0013109
CO
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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