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1033742226
RAPHAEL WOODALL
MEMPHIS, TN
NPI
1033742226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000005998)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
RAPHAEL WOODALL LCSW
4646 POPLAR AVE STE 302
MEMPHIS, TN 38117-4433
Phone number: 901-930-7397
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Mailing Address
RAPHAEL WOODALL LCSW
6819 KERRI VALLEY LN
CORDOVA, TN 38018-2848
Phone number: 662-832-0933
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