Individual
MRS. ELIZABETH ANN WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
3642 KERRY ANN WAY, JEFFERSONVILLE, IN 47130-8669
(812) 989-7680
Mailing address
3642 KERRY ANN WAY, JEFFERSONVILLE, IN 47130-8669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004277A
IN
Other
Enumeration date
07/11/2008
Last updated
04/13/2010
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