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NPI Code Detail

MEDICARE: STEPHANIE WOODROW

MEDICARE: STEPHANIE WOODROW
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
1101YM0800XMental Health CounselorLGP7225MD

General Provider Information

NPI Number : 1326587445
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE WOODROW
Provider Business Mailing Address
First Line : 5425 WISCONSIN AVE STE 600
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3588
Country : US
Telephone Number : 301-968-2426
Fax Number :
Provider Business Practice Location Address
First Line : 5425 WISCONSIN AVE STE 600
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3588
Country : US
Telephone Number : 301-968-2426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2017
Last Update Date : 12/16/2021

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Directions to “ STEPHANIE WOODROW ” Practice Location

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