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Elissa Woodruff, PH.D. Valid NPI

Individual provider · Health Maintenance Organization · San Rafael, CA

NPI
1447663133
Type
Individual (Type 1)
Primary specialty
Health Maintenance Organization
Specialty group
Managed Care Organizations
Taxonomy code
302R00000X
License number
PSY26236 (CA)
Sex
Female
Sole proprietor
Yes
Enumerated
2014-06-10
Last updated
2014-06-10
Practice location
820 Las Gallinas Ave
San Rafael, CA 94903-3410
(415) 491-3013

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