Individual
MRS. ASA WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
306 SHAKER RD, GRAY, ME 04039-9674
(310) 908-8488
Mailing address
306 SHAKER RD, GRAY, ME 04039-9674
(310) 908-8488
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
46670
CA
106H00000X
Marriage & Family Therapist
MF4305
ME
Other
Enumeration date
07/21/2011
Last updated
01/26/2017
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