Individual
JOANNA BETH WOOLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1004 PARKWAY AVE, SUITE D, ELKHART, IN 46516-9348
(574) 293-0005
(574) 293-0019
Mailing address
1004 PARKWAY AVE, SUITE D, ELKHART, IN 46516-9348
(574) 293-0005
(574) 293-0019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003828A
IN
Other
Enumeration date
04/23/2013
Last updated
12/12/2016
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