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NPI Code Detail

MEDICARE: MS. ROSE WOODWARD MSW

MEDICARE:  MS. ROSE  WOODWARD  MSW
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
11041C0700XClinical Social WorkerLW00004496WA

General Provider Information

NPI Number : 1194059469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROSE WOODWARD MSW
Provider Business Mailing Address
First Line : 1101 17TH AVE
Second Line : #406
City : SEATTLE
State : WA
Zip : 98122-4668
Country : US
Telephone Number : 206-322-7798
Fax Number :
Provider Business Practice Location Address
First Line : 1101 17TH AVE
Second Line : #406
City : SEATTLE
State : WA
Zip : 98122-4668
Country : US
Telephone Number : 206-322-7798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2009
Last Update Date : 09/19/2009

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Directions to “ MS. ROSE WOODWARD MSW” Practice Location

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