Individual
DENISE ANN STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-6850
Mailing address
2212 BLACKSTONE WAY, SAINT AUGUSTINE, FL 32092-4725
(904) 687-4289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10904
FL
Other
Enumeration date
02/24/2022
Last updated
07/27/2022
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