Individual
GERALD DARNELL WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10825 DORCHESTER RD. #3077, SUMMERVILLE, SC 29485
(434) 473-3343
Mailing address
10825 DORCHESTER RD APT 3077, SUMMERVILLE, SC 29485-6073
(434) 473-3343
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171R00000X
Interpreter
—
—
Other
Enumeration date
06/27/2018
Last updated
07/09/2018
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