Individual
MRS. CASEY WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
68 MAIN ST, OSWEGO, IL 60543-9861
(630) 698-0390
Mailing address
PO BOX 864, OSWEGO, IL 60543-0864
(630) 698-0390
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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