Individual
MR. JIMMIE SCOTT WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
408 E 6TH ST, MONROE, MI 48161-1306
(734) 934-7957
Mailing address
408 E 6TH ST, MONROE, MI 48161-1306
(734) 934-7957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801109218
MI
104100000X
Social Worker
6803085886
MI
1041C0700X
Clinical Social Worker
6801109218
MI
Other
Enumeration date
04/22/2013
Last updated
08/02/2022
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