Individual
CHARLES WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Mailing address
3800 BRIDGEPORT WAY W STE A, #290, UNIVERSITY PLACE, WA 98466-4495
(253) 380-9463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60624746
WA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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