Sarah J Woodward, Llc | |
22530 Washington St Suite 4 Leonardtown MD 20650-3898 | |
(240) 561-9559 | |
(240) 718-2097 |
Full Name | Sarah J Woodward, 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 |
---|---|
Sarah J Woodward, Llc Po Box 1434 Leonardtown MD 20650-1434 Ph: (240) 561-9559 | Sarah J Woodward, Llc 22530 Washington St Suite 4 Leonardtown MD 20650-3898 Ph: (240) 561-9559 |
NPI Number | 1053856823 |
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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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