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Organization

SCW PSYCHOLOGICAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUZANNE CARROLL WOODARD PH.D. (CLINICAL PSYCHOLOGIST)
(305) 528-8808
Entity
Organization

Contact information

Practice address
1550 MADRUGA AVE, SUITE 510, CORAL GABLES, FL 33146-3039
(305) 528-8808
(305) 454-0511
Mailing address
PO BOX 348220, CORAL GABLES, FL 33234-8220
(305) 528-8808
(305) 454-0511

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7196
FL

Other

Enumeration date
06/29/2011
Last updated
07/06/2011
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