Individual
BRETT MALCOM WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2533 ANTRIM CIR, COLUMBIA, TN 38401-5829
(931) 797-6044
Mailing address
2533 ANTRIM CR., COLUMBIA, TN 38401
(931) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094800862
TN
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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