Individual
HOLLY ANNE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2601 NATIONAL RD W, RICHMOND, IN 47374-4678
(765) 914-9116
Mailing address
2601 NATIONAL RD W, RICHMOND, IN 47374-4678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34003532A
IN LICENSE
IN
Enumeration date
11/20/2012
Last updated
11/20/2012
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