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1942500152
PORTIA MONIQUE WOODARD
BAKERSFIELD, CA
NPI
1942500152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
-- PORTIA MONIQUE WOODARD
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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Mailing Address
-- PORTIA MONIQUE WOODARD
3218 LAUREL DR
BAKERSFIELD, CA 93304-6029
Phone number: 661-472-5325
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