Individual
TED WOOLUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 438-2551
Mailing address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 438-2551
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
UA1010220
OH
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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