Individual
KEITH WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
587 E MIDDLE TPKE, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
42 WILLOWCREST DR, WINDSOR, CT 06095-3859
(860) 463-1239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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