Individual
DORIS J WOODWARDS-DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
347 MIDWAY BLVD, SUITE 306, ELYRIA, OH 44035-9006
(440) 324-1300
(440) 324-0070
Mailing address
347 MIDWAY BLVD, SUITE 306, ELYRIA, OH 44035-9006
(440) 324-1300
(440) 324-0070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0005447-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000124727
ANTHEM BLUE CROSS PIN
OH
Enumeration date
07/24/2006
Last updated
03/23/2016
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