Provider Information for 1619493244
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JESSICA M WOODS LCSW
Sex: Female
NPI: 1619493244
Last Updated: 2022-11-14
Certification Date: 2022-11-14
Certification Date: 2022-11-14
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619493244 | ||||||||||||
| Enumeration Date | 2017-08-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 11820 DESTINATION DR BROOMFIELD, CO 80021-2518 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 11820 DESTINATION DR BROOMFIELD, CO 80021-2518 United States Phone: 303-460-6000 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 10241 PARK MEADOWS DR | ||||||||||||
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