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Individual

DR. LESHELLE D WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
427 COLUMBIA RD 108, HANOVER, MA 02339-3213
(617) 552-5124
(888) 317-2641
Mailing address
PO BOX 934, HANOVER, MA 02339
(617) 552-5124
(888) 317-2641

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8649
MA
103T00000X
Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0584703
MA
Enumeration date
10/16/2006
Last updated
11/16/2015
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