Individual
MR. DAVIS WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1207 SPRINGWOOD LN, LAKE CHARLES, LA 70605-5435
(337) 540-5677
Mailing address
1207 SPRINGWOOD LN, LAKE CHARLES, LA 70605-5435
(337) 540-5677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4308
LA
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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