Individual
TARA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 CROSS LANES DR, CROSS LANES, WV 25313-1338
(304) 759-9835
Mailing address
824 CROSS LANES DR, CROSS LANES, WV 25313-1338
(304) 759-9835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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