Individual
DYLAN FORREST WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC
Contact information
Practice address
300 S 6TH ST, MINNEAPOLIS, MN 55487-0999
(612) 432-8136
(612) 466-9871
Mailing address
300 S 6TH ST, MINNEAPOLIS, MN 55487-0999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302674
MN
1041C0700X
Clinical Social Worker
Primary
2511
MN
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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