Individual
MS. JILL C WOODWARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
308 12TH AVE S, BUFFALO, MN 55313-2321
(763) 682-4400
(763) 682-1353
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00079
MN
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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