Individual
SHAMAYARA WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1315 WINDRIM AVE, PASSAGES 2ND FL, PHILADELPHIA, PA 19141-2710
(215) 456-2701
Mailing address
1315 WINDRIM AVE, PASSAGES 2ND FL, PHILADELPHIA, PA 19141-2710
(215) 456-2701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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