Individual
ELIZABETH CHRISTINE WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 S COUNTRY CLUB RD APT 206, DECATUR, IL 62521-4438
(708) 574-7856
Mailing address
1705 S COUNTRY CLUB RD, DECATUR, IL 62521-4466
(708) 574-7856
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
03/09/2023
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