Individual
MRS. PELADIJA MARY WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3125 DOUGLAS AVE, SUITE 100, DES MOINES, IA 50310-5365
(319) 440-0584
Mailing address
3125 DOUGLAS AVE STE 100, DES MOINES, IA 50310-5310
(319) 440-0584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
05586
IA
Other
Enumeration date
08/21/2011
Last updated
09/30/2013
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