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Individual

CORY WOODSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RAC

Contact information

Practice address
13675 COURSEY BLVD APT 231, BATON ROUGE, LA 70817-1347
(318) 664-6395
Mailing address
13675 COURSEY BLVD APT 231, BATON ROUGE, LA 70817-1347
(318) 664-6395

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1632
LA

Other

Enumeration date
02/08/2019
Last updated
02/08/2019
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