Individual
DR. KENDRA ANN WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1405 LILAC DR N, SUITE 200, GOLDEN VALLEY, MN 55422-4535
(763) 545-7708
(763) 545-3479
Mailing address
1405 LILAC DR N, SUITE 200, GOLDEN VALLEY, MN 55422-4535
(763) 545-7708
(763) 545-3479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6072
MN
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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