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Individual
SUSANNA J. WOOD
Active
Individual
SUSANNA J. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
L4094
OR
101YM0800X
Mental Health Counselor
L4094
OR
1041C0700X
Clinical Social Worker
Primary
L4094
OR
Other
Enumeration date
05/19/2008
Last updated
11/10/2008
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