Individual
SHAQWANA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6328 SKIPPER LN, FORT WORTH, TX 76179-2048
(214) 414-2008
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
01/31/2023
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