| Doctor Name: | MR. C A WOODARD |
| NPI Number: | 1083882971 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | SW001993 |
| Business Practice Address: | 998 E Gannon Dr Ste 120 Festus, MO - 630282663 |
| Business Phone Number: | 6369312900 |
| Business Fax Number: | 6369312904 |
| Mailing Address: | 998 E Gannon Dr Ste 120, FESTUS |
| State: | MO |
| Postal Code: | 630282663 |
| Phone Number: | 6369312900 |
| Fax Number: | 6369312904 |
| NPI Enumeration Date: | 02/14/2008 |
| NPI Last Update Date: | 03/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW001993 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |