Individual
OLIVIA PRIESTLEY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 S 1ST W, PRESTON, ID 83263-1204
(208) 852-2370
Mailing address
75 S 1ST W, PRESTON, ID 83263-1204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2021
Last updated
07/10/2025
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