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NPI Code Detail

MEDICARE: KAMILA WOODRUFF

MEDICARE:   KAMILA  WOODRUFF
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184162828
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMILA WOODRUFF
Provider Business Mailing Address
First Line : 10841 HICKORY MILL XING APT 302
Second Line :
City : RALEIGH
State : NC
Zip : 27617-4866
Country : US
Telephone Number : 704-506-6524
Fax Number :
Provider Business Practice Location Address
First Line : 10841 HICKORY MILL XING APT 302
Second Line :
City : RALEIGH
State : NC
Zip : 27617-4866
Country : US
Telephone Number : 704-506-6524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 02/03/2017

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Directions to “ KAMILA WOODRUFF ” Practice Location

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