Individual
JACKIE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 POST RD E STE 202, WESTPORT, CT 06880-5361
(203) 438-3139
Mailing address
1071 POST RD E STE 202, WESTPORT, CT 06880-5361
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1716
CT
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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