Individual
ELIZABETH WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
157
TN
170300000X
Genetic Counselor (M.S.)
Primary
74000170A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157
LICENSE NUMBER
TN
Enumeration date
08/22/2016
Last updated
08/15/2023
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