Individual
RAY THAD WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
107 E 25TH ST, BALTIMORE, MD 21218-5213
(410) 558-0032
Mailing address
2128 BRUNT ST, BALTIMORE, MD 21217-3317
(443) 517-8423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
ALL WALKS OF LIFE
MD
Enumeration date
09/03/2020
Last updated
09/03/2020
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