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General NPI Number Information
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NPI Number | 1023441516
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Entity Type | Individual
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Provider Name | BRITTANY WOODLEY LCSW-S, LISW-S
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 3083 HERSCHEL AVE APT 309
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City | DALLAS
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State | TX
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Zip | 75219-2064
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Country | US
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Telephone | 214-775-0857
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Fax |
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Provider Business Mailing Address
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Address Line | 3083 HERSCHEL AVE APT 309
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City | DALLAS
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State | TX
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Zip | 75219-2064
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Country | US
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Telephone | 214-775-0857
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1500838-SUPV
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.1302590
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 64116
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License Number State | TX
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