Individual
MS. SHIRLEY M. WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
221 FOSTER RD, ULLIN, IL 62992-2321
(618) 845-9248
(618) 845-9248
Mailing address
221 FOSTER RD, P. O. BOX 38, ULLIN, IL 62992-2321
(618) 845-9248
(618) 845-9248
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
SW86551101P
IL
Other
Enumeration date
10/09/2007
Last updated
01/07/2008
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