Provider Information for 1508238940
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KARIMA WOODFORK LGPC
Sex: Female
NPI: 1508238940
Last Updated: 2015-10-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508238940 | ||||||||
| Enumeration Date | 2015-10-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 2924 LA PLATA, MD 20646-2984 United States Phone: 301-609-9887 | Fax:301-609-9091 | ||||||||
| Primary Practice Address | 6100 RADIO STATION ROAD LA PLATA, MD 20646 United States Phone: 301-609-9887 | Fax:301-609-9091 | ||||||||
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