Woodard, Andra Dawn
Woodard, Andra Dawn is an individual health care provider with primary practice located at 10599 Fox Cir , Seward AK 99664. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Woodard, Andra Dawn can be contacted via phone (907) 491-1581.Contact Information
Primary practice address
10599 Fox Cir
Seward AK 99664
Phone: (907) 491-1581
Fax: (360) 868-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 105894 | Alaska |
Profile Details
| NPI number | 1013403708 |
|---|---|
| LBN Legal business name | Woodard, Andra Dawn |
| Credentials | LBSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2018 |
| Last updated | May 19th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013403708 | NPPES |
| Alaska | Other | 105894 | ALASKA STATE LICENSE |
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