Individual
JILL LAURIE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
126 MILLPORT CIR, SUITE 201, GREENVILLE, SC 29607-5562
(864) 329-1480
(864) 329-8427
Mailing address
2725 WATER RIDGE PKWY, SUITE 300, CHARLOTTE, NC 28217-4580
(704) 831-5065
(705) 831-5066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3967
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3967
SPEECH LANGUAGE
SC
Enumeration date
06/18/2007
Last updated
07/20/2007
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