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1235439985
MICAH WOODARD
SALEM, OR
NPI
1235439985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA lw60145757)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
-- MICAH WOODARD msw
3750 CHEMAWA RD NE
SALEM, OR 97305-1119
Phone number: 503-390-4714
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Mailing Address
-- MICAH WOODARD msw
3750 CHEMAWA RD NE
SALEM, OR 97305-1119
Phone number: 503-390-4714
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