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Individual

JOHNIECE MARIE WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
318 BARON BLVD, SUFFOLK, VA 23435-2486
(757) 992-8910
Mailing address
363 HANNAH CT, NEWPORT NEWS, VA 23606-1867
(757) 947-7641

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017736
VA

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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