Individual
ANNA WOODHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 E NICKERSON AVE, BENTON HARBOR, MI 49022-2469
(269) 983-5833
Mailing address
1651 EAST NICKERSON AVENUE, BENTON HARBOR, MI 49022
(269) 983-5833
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22859
MI
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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