Individual
MARY JANE WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 SOUTHRIDGE PKWY, SUITE 301, CULPEPER, VA 22701-3723
(540) 829-2393
Mailing address
215 TURKEY RIDGE ROAD, BOSTON, VA 22713-1802
(540) 829-2393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008911339
—
VA
Enumeration date
02/07/2007
Last updated
07/09/2007
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