Individual
LATOYA LASHA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1007 MARY STREET, WAYCROSS, GA 31503
(912) 449-7111
Mailing address
1007 MARY ST, WAYCROSS, GA 31503-3823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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