Individual
MR. LAWRENCE E WOODWARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
516 MCCLELLAN ST, WAUSAU, WI 54403-4844
(715) 842-5577
(715) 845-8483
Mailing address
1320 W CLAIREMONT AVE, STE 200, EAU CLAIRE, WI 54701-4566
(715) 834-2046
(715) 834-7563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1269-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39285600
—
WI
Enumeration date
11/14/2006
Last updated
07/08/2007
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