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Organization

DAWN WOOD COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAWN MARIE WOOD LLMSW (DIRECTOR)
(269) 808-0160
Entity
Organization

Contact information

Practice address
3503 GREENLEAF BLVD STE 202, KALAMAZOO, MI 49008-2580
(269) 808-0160
Mailing address
1918 STEARNS AVE, KALAMAZOO, MI 49008-1844
(269) 808-0160

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
Primary
6801096207
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C90618
BLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN
MI
Enumeration date
03/07/2016
Last updated
02/28/2019
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