Individual
SHAWNEEKA NICHOLE WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 MADISON AVE APT 2E, NEW YORK, NY 10029-3831
(347) 848-7479
Mailing address
1595 MADISON AVE APT 2E, NEW YORK, NY 10029-3831
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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