Individual
ANDREA WOODBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 NE 4TH AVE, FT LAUDERDALE, FL 33305-3002
(754) 322-1163
Mailing address
630 NE 17TH AVE, FORT LAUDERDALE, FL 33304-3420
(954) 647-1139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3034
FL
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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