Most Relevant Information
Provider Data
| NPI Number: | 1003641028 |
| Provider Name: | DENNIS TYRONE WOODSON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | APS.005294 |
Most Important Dates
| Enumeration Date: | 09/09/2024 |
| Last Updated: | 09/09/2024 |
Provider Practice Location
5069 CLANCY CT
COLUMBUS
OH
432301290
Practice Location Phone/Fax
| Phone: | 6147479299 |
| Fax: |
Provider Mailing Location
5069 CLANCY CT
COLUMBUS
OH
432301290
Provider Mailing Phone/Fax
| Phone: | 6147479299 |
| Fax: |