Individual
MRS. CEILIA MARIE WODARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7716
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2011
Last updated
12/16/2013
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