Individual
KELLY WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
310 N MIDVALE BLVD STE 202, MADISON, WI 53705-3265
(608) 279-8783
Mailing address
310 N MIDVALE BLVD STE 202, MADISON, WI 53705-3265
(608) 279-8783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128462
WI
Other
Enumeration date
05/30/2021
Last updated
05/30/2021
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