Individual
CHRIS WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 LINCOLNSHIRE DR, CHAMPAIGN, IL 61821-5606
(217) 355-1697
Mailing address
808 W NEVADA ST, URBANA, IL 61801-3801
(217) 414-5900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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