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Individual

KYLA MARI WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW-PIP

Contact information

Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 718-5095
(605) 716-1014
Mailing address
2110 MONTE VISTA DR, RAPID CITY, SD 57702-3229
(605) 209-7225

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6305
SD

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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