| Doctor Name: | TERENCE WOOLFORK |
| NPI Number: | 1073936456 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 701 E 8 Mile Rd Hazel Park, MI - 480302503 |
| Business Phone Number: | 3135440731 |
| Business Fax Number: | 3138492763 |
| Mailing Address: | 1056 S Patricia St, DETROIT |
| State: | MI |
| Postal Code: | 482171230 |
| Phone Number: | 3135440731 |
| Fax Number: | 3138492763 |
| NPI Enumeration Date: | 01/21/2014 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |