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NPI Code Detail

MEDICARE: JODI LYNN WOYDZIAK

MEDICARE: JODI LYNN WOYDZIAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1174017636
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI LYNN WOYDZIAK
Provider Business Mailing Address
First Line : 333 W MAIN ST STE 140
Second Line :
City : ARDMORE
State : OK
Zip : 73401-6321
Country : US
Telephone Number : 580-224-2929
Fax Number :
Provider Business Practice Location Address
First Line : 333 W MAIN ST STE 140
Second Line :
City : ARDMORE
State : OK
Zip : 73401-6321
Country : US
Telephone Number : 580-224-2929
Fax Number : 866-777-7906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 03/11/2026

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Directions to “ JODI LYNN WOYDZIAK ” Practice Location

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