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Individual

MIRANDA M WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SAC-IT

Contact information

Practice address
211 CORPORATE DR STE G, BEAVER DAM, WI 53916-3119
(920) 219-4440
Mailing address
319 E MOORE ST, BERLIN, WI 54923-1671
(920) 219-4440

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20883-130
WI

Other

Enumeration date
01/07/2026
Last updated
02/03/2026
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