Individual
MARCUS EARL WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5372
(636) 947-5602
Mailing address
7874 BENTLEY DR, SAINT LOUIS, MO 63143-1602
(314) 532-9038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2018022850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018022850
SOCIAL WORK
MO
Enumeration date
02/01/2019
Last updated
02/01/2019
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