Individual
LISA DAWN WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14613 SALT MEADOW DR, PENSACOLA, FL 32507-9547
(703) 628-7491
Mailing address
14613 SALT MEADOW DR, PENSACOLA, FL 32507-9547
(703) 628-7491
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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