Individual
COLLEEN EMILY WOODWARD
Active
Individual
COLLEEN EMILY WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110560
NY
1041C0700X
Clinical Social Worker
Primary
126594
MA
Other
Enumeration date
10/26/2020
Last updated
06/09/2023
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