Individual
ERICA LEANN WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6315 MUTUAL DR STE A, FORT WAYNE, IN 46825-4238
(260) 833-7474
Mailing address
6315 MUTUAL DR STE A, FORT WAYNE, IN 46825-4238
(260) 833-7474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34009071A
IN
Other
Enumeration date
02/01/2018
Last updated
02/15/2023
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