Individual
JADIA WOODFORLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 W OAK ST APT 421145, KISSIMMEE, FL 34741-4025
(470) 659-7357
Mailing address
1415 W OAK ST APT 421145, KISSIMMEE, FL 34741-4025
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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