| Doctor Name: | CASSIE WOODSON |
| NPI Number: | 1730472200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 34404 River Rd Whitesboro, OK - 745771020 |
| Business Phone Number: | 5809801527 |
| Business Fax Number: | |
| Mailing Address: | 34404 River Rd, WHITESBORO |
| State: | OK |
| Postal Code: | 745771020 |
| Phone Number: | 5809801527 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2011 |
| NPI Last Update Date: | 09/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |