Individual
TRACI C WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BS
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/15/2012
Last updated
04/25/2016
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