Provider Information for 1043220403
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Ms. PATRICIA LYNN TOMPKINS WOODSON M.Ed.; LPC
Sex: Female
NPI: 1043220403
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1043220403 | ||||||||||||
Enumeration Date | 2006-08-09 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 10773 DANVILLE, VA 24543-5013 United States Phone: 434-836-6689 | Fax:434-685-1543 | ||||||||||||
Primary Practice Address | 1115 FRANKLIN TPKE AK FERRELL BUILDING, SUITES 11 & 12 DANVILLE, VA 24540-1362 United States Phone: 434-836-6689 | Fax:434-685-1543 | ||||||||||||
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