Woodward, Dylan Forrest
Woodward, Dylan Forrest is an individual health care provider with primary practice located at 300 S 6Th St , Minneapolis MN 55487-0999. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Woodward, Dylan Forrest can be contacted via phone (612) 432-8136.Contact Information
Primary practice address
300 S 6Th St
Minneapolis MN 55487-0999
Phone: (612) 432-8136
Fax: (612) 466-9871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302674 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2511 | Minnesota |
Profile Details
| NPI number | 1669897955 |
|---|---|
| LBN Legal business name | Woodward, Dylan Forrest |
| Credentials | LICSW, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Feb 24th, 2014 - about 11 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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