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Individual

LISA JO WOODCOCK-BURROUGHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D. LP

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301015109REN20
MI
103TC0700X
Clinical Psychologist
L1617946
MI
103TC0700X
Clinical Psychologist
Primary
PSY.0005442
CO

Other

Enumeration date
02/15/2010
Last updated
10/12/2021
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