Individual
ALICIA DANIELLE WOODRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N 4TH ST, MUSKOGEE, OK 74401-6312
(918) 537-2007
Mailing address
119 N G ST, MUSKOGEE, OK 74403-5155
(918) 457-9702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6733
OK
Other
Enumeration date
02/12/2014
Last updated
07/24/2020
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