| S.j. Woodward Psychotherapy, Llc | |
|
22530 Washington St Suite 4 Leonardtown MD 20650-3898 | |
| (240) 561-9559 | |
| (240) 718-2097 |
| Full Name | S.j. Woodward Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22530 Washington St, Leonardtown, Maryland |
| Authorized Official Name and Position | Sarah J Woodward (OWNER) |
| Authorized Official Contact | 2405619559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.j. Woodward Psychotherapy, Llc Po Box 1434 Leonardtown MD 20650-1434 Ph: (240) 561-9559 | S.j. Woodward Psychotherapy, Llc 22530 Washington St Suite 4 Leonardtown MD 20650-3898 Ph: (240) 561-9559 |
| NPI Number | 1053856823 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053856823 | NPI | - | NPPES |
| 1039873 00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17773 (Maryland) | Primary |
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