Woodard, Dawn

Woodard, Dawn is an individual health care provider with primary practice located at 2652 Murphy Rd , Portage WI 53901-1094. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodard, Dawn can be contacted via phone (608) 742-9717.

Contact Information

Primary practice address
2652 Murphy Rd Portage WI 53901-1094
Phone: (608) 742-9717
Fax: (608) 742-9700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4053-123 Wisconsin

Profile Details

NPI number 1629203161
LBN Legal business name Woodard, Dawn
Credentials Master of Science in Social Work (MSSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2009
Last updated May 28th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629203161 NPPES
Wisconsin MEDICAID 39653000

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