Provider Information for 1962953331
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Mrs. RENNETA A WOODS LCSW
Sex: Female
NPI: 1962953331
Last Updated: 2023-10-17
Certification Date: 2023-06-20
Certification Date: 2023-06-20
Details
Name | Value | ||||||||||||
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NPI | 1962953331 | ||||||||||||
Enumeration Date | 2016-10-20 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 7975 LAKE UNDERHILL RD ORLANDO, FL 32822-8202 United States Phone: 407-303-6830 | Fax: | ||||||||||||
Primary Practice Address | 7975 LAKE UNDERHILL RD ORLANDO, FL 32822-8202 United States Phone: 407-303-6830 | Fax: | ||||||||||||
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