Provider Information for 1558569632
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Mrs. RACHAEL LYNN WOODS LCSW
Other Names:Former Name:Miss RACHAEL LYNN HENDRICKS MSWSex: Female
NPI: 1558569632
Last Updated: 2019-12-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1558569632 | ||||||||||||
| Enumeration Date | 2007-07-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1017 ARCTIC CIR JUNEAU, AK 99801-8754 United States Phone: 907-500-4074 | Fax: | ||||||||||||
| Primary Practice Address | 2075 JORDAN AVE JUNEAU, AK 99801 United States Phone: 907-789-7610 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 160 E VIRGINIA STREET | ||||||||||||
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