MICAH WOODARD

SALEM, OR
NPI1235439985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  lw60145757)
Enumeration Date2010-10-28
Last Update Date2010-10-28
Business Address
-- MICAH WOODARD msw
3750 CHEMAWA RD NE
SALEM, OR 97305-1119
Phone number: 503-390-4714
Mailing Address
-- MICAH WOODARD msw
3750 CHEMAWA RD NE
SALEM, OR 97305-1119
Phone number: 503-390-4714