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Individual

MRS. DIERA WOODARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RCSW-I

Contact information

Practice address
1800 MERCY DR, SUITE 302, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 522-4671
Mailing address
1800 MERCY DR, SUITE 302, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 522-4671

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW25691
FL
1041C0700X
Clinical Social Worker
Primary
SW25691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW25691
STATELICENSE
FL
Enumeration date
05/14/2012
Last updated
11/04/2025
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