Individual
NATHANIEL JAMES WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(512) 983-5983
Mailing address
136 SWAN LK, WACO, TX 76708-7202
(512) 983-5983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5341-57
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2024
Last updated
04/06/2025
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