Individual
MR. RICHARD WOODCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
333 LINCOLN ST, STE 216, SACO, ME 04072-3113
(888) 342-8764
(888) 342-8764
Mailing address
333 LINCOLN ST, STE 216, SACO, ME 04072-3113
(888) 342-8764
(888) 342-8764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7013
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403740099
—
ME
01
—
ME2187
MEDICARE
ME
Enumeration date
10/06/2006
Last updated
08/12/2023
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