Individual
CLEMETHA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 EE WALLACE BLVD S, FERRIDAY, LA 71334-3224
(601) 443-1907
Mailing address
615 EE WALLACE BLVD S, FERRIDAY, LA 71334-3224
(601) 443-1907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/04/2016
Last updated
11/15/2021
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