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NPI Code Detail

MEDICARE: LAURA WOODSON

MEDICARE: LAURA WOODSON
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
1101Y00000XCounselor6451024764MI

General Provider Information

NPI Number : 1992661896
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WOODSON
Provider Business Mailing Address
First Line : 39150 DEQUINDRE RD STE 100
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-6983
Country : US
Telephone Number : 586-580-2975
Fax Number :
Provider Business Practice Location Address
First Line : 39150 DEQUINDRE RD STE 100
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-6983
Country : US
Telephone Number : 586-580-2975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ LAURA WOODSON ” Practice Location

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