Organization
CAROL JEAN WOODBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL JEAN WOODBURY M.ED. (PSYCHOTHERAPIST)
(952) 767-0539
Entity
Organization
Contact information
Practice address
5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
(952) 767-0539
(952) 767-0578
Mailing address
5200 WILLSON RD, SUITE 309, EDINA, MN 55424-1332
(952) 767-0539
(952) 767-0578
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0274
MN
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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