Individual
MR. DAVID RUSTY WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.C.;LPC
Contact information
Practice address
14240 N 43RD AVE, GLENDALE, AZ 85306-4511
(602) 866-8850
(602) 866-3430
Mailing address
14240 N 43RD AVE, GLENDALE, AZ 85306-4511
(602) 866-8850
(602) 866-3430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LPC-11834
AZ
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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