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Individual

DR. MARK STEPHEN WOODFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LPC, MAC

Contact information

Practice address
2000 PENNINGTON RD, TCNJ, 327 FORCINA HALL, EWING, NJ 08618-1104
(609) 771-2119
Mailing address
153 PINE LN, YARDLEY, PA 19067-2820
(215) 321-7918

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00290700
NJ

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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