Organization
LEE A WOODS LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE A. WOODS MSSA (PRESIDENT)
(928) 472-8298
Entity
Organization
Contact information
Practice address
616 S BEELINE HWY SUITE 108, PAYSON, AZ 85541-5380
(928) 472-8298
(928) 472-7430
Mailing address
PO BOX 2752, PAYSON, AZ 85547-2752
(928) 472-8298
(928) 472-7430
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCSW0585
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745440
—
AZ
Enumeration date
05/11/2006
Last updated
01/29/2008
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