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Individual
SHAWN DOUGLAS WOOD
Active
Individual
SHAWN DOUGLAS WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CYC-P
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0135350
VT
1041C0700X
Clinical Social Worker
Primary
108269
TX
1041C0700X
Clinical Social Worker
119727
CA
1041C0700X
Clinical Social Worker
127932
MA
1041C0700X
Clinical Social Worker
6577
ND
Other
Enumeration date
09/06/2022
Last updated
10/24/2025
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