Individual
JODI WOODNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-10448
AZ
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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