Individual
DR. ROSEANN M WOODKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
926 E JACKSON BLVD, ELKHART, IN 46516-4351
(574) 522-6292
(574) 522-0481
Mailing address
926 E JACKSON BLVD, ELKHART, IN 46516-4351
(574) 522-6292
(574) 522-0481
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041649
IN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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