Individual
MS. MARY WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
13800 NICOLLET BLVD UNIT 1612, BURNSVILLE, MN 55337-6134
(612) 803-1953
(651) 454-9494
Mailing address
13800 NICOLLET BLVD UNIT 1612, BURNSVILLE, MN 55337-6134
(612) 803-1953
(651) 454-9494
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
LP 3003
MN
Other
Enumeration date
01/25/2007
Last updated
10/28/2025
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