Most Relevant Information
Provider Data
NPI Number: | 1003549882 |
Provider Name: | JILL LEEAN WOODRUM |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/08/2022 |
Last Updated: | 07/08/2022 |
Provider Practice Location
2157 GREENBRIER ST
CHARLESTON
WV
253119623
Practice Location Phone/Fax
Phone: | 3043445924 |
Fax: |
Provider Mailing Location
2157 GREENBRIER ST
CHARLESTON
WV
253119623
Provider Mailing Phone/Fax
Phone: | 3043445924 |
Fax: |