Most Relevant Information
Provider Data
| NPI Number: | 1003594383 |
| Provider Name: | KAYLA WOODALL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2023 |
| Last Updated: | 07/07/2023 |
Provider Practice Location
3094 W MARKET ST STE 343
FAIRLAWN
OH
443333626
Practice Location Phone/Fax
| Phone: | 2343345589 |
| Fax: |
Provider Mailing Location
3094 W MARKET ST STE 343
FAIRLAWN
OH
443333626
Provider Mailing Phone/Fax
| Phone: | 2343345589 |
| Fax: |