Individual
MS. DEBORAH LILLIAS WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10601 N 39TH ST, PHOENIX, AZ 85028-3417
(602) 290-2684
Mailing address
10601 N 39TH ST, PHOENIX, AZ 85028-3417
(602) 290-2684
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10614
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-11889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003957
AHCCCS
AZ
Enumeration date
07/22/2008
Last updated
07/22/2008
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