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Search › Illinois › 103TC0700X

Kimberly Woodman, PHD

NPI 1992418495 · on the registry since 2022 · sole proprietor

Practice

Address
2103 E Washington St Ste 4b
Bloomington, IL 61701
Phone
(309) 304-3047
Organisation at this address
Emil M. Verban
Tiffany Mcbride
Jsc Incorporated
Select Care Pllc
Keelan Dennis Mft
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois