Individual
DELBERT WOODHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 331-6191
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700
MA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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