Individual
MRS. DONIEKA RENEE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2206
Mailing address
3047A, 33RD STREET, FORT CAMPBELL, KY 42223
(937) 242-3488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4174
TN
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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