Individual
LISA WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 ASHLEY ST, ALVORD, TX 76225-5641
(940) 393-0954
Mailing address
224 ASHLEY ST, ALVORD, TX 76225-5641
(940) 393-0954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15069
TX
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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