Individual
MRS. THERESA WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
440 NEVADA AVE, LOVELL, WY 82431-1916
(307) 399-9134
Mailing address
440 NEVADA AVE, LOVELL, WY 82431-1916
(307) 399-9134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1171
WY
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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