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NPI Code Detail

MEDICARE: GINGER WOODS

MEDICARE: GINGER WOODS
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 WorkerSW12544FL

General Provider Information

NPI Number : 1336681808
Entity Type Code : Organization
Provider Name (Legal Business Name) : GINGER WOODS
Provider Business Mailing Address
First Line : 112 W CERVANTES ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3128
Country : US
Telephone Number : 850-466-3200
Fax Number : 850-607-9039
Provider Business Practice Location Address
First Line : 112 W CERVANTES ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3128
Country : US
Telephone Number : 850-466-3200
Fax Number : 850-607-9039
Authorized Official
Title or Position : OWNER
Name : MS. GINGER E WOODS
Credential : LCSW
Telephone Number : 850-466-3200
Provider Enumeration Date : 11/15/2016
Last Update Date : 11/15/2016

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Directions to “GINGER WOODS ” Practice Location

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