Individual
JULIE ANN WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LLP
Contact information
Practice address
17352 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48076-2119
(248) 559-0730
Mailing address
220 N INGALLS ST, ANN ARBOR, MI 48104-1595
(818) 652-5629
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4101006430
DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
08/11/2009
Last updated
08/11/2009
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