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1376058107
PATRICK WOODARD
LAKE CHARLES, LA
NPI
1376058107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-01
Last Update Date
2018-06-01
Business Address
PATRICK WOODARD
2706 HODGES ST
LAKE CHARLES, LA 70601
Phone number: 337-491-1740
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Mailing Address
PATRICK WOODARD
2706 HODGES ST
LAKE CHARLES, LA 70601-7366
Phone number:
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