Individual
JANIS G. WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
123 22ND ST, TOLEDO, OH 43624-1107
(419) 241-6191
(419) 255-5623
Mailing address
123 22ND ST, TOLEDO, OH 43624-1107
(419) 241-6191
(419) 255-5623
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5998
OH
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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