LAVELL WOODARD

PALM BAY, FL
NPI1306460928
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-05-29
Last Update Date2020-05-29
Business Address
Mr. LAVELL WOODARD
4206 PINEWOOD DR NE
PALM BAY, FL 32905
Phone number: 321-412-4775
Mailing Address
Mr. LAVELL WOODARD
400 COUNTRY LANE DR
COCOA, FL 32926-5383
Phone number: 321-412-4775