Individual
JEWEL WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 EZRA AVE, ZION, IL 60099-2360
(224) 321-4023
Mailing address
2117 EZRA AVE, ZION, IL 60099-2360
(224) 321-4023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.105396
IL
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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