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Individual

SUSAN WOOLDRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1975 ELK HILL ROAD, GOOCHLAND, VA 23063
(804) 457-4866
(804) 457-9307
Mailing address
18400 RIVER RD, CHESTERFIELD, VA 23838-1256
(804) 739-8908
(804) 739-8908

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002849
VA

Other

Enumeration date
07/26/2006
Last updated
07/08/2007
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