Individual
JOSEPH BRUCE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW CSW-PIP
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 639-1492
(605) 644-4241
Mailing address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 639-1492
(605) 644-4241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1464
SD
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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