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Individual

ALTON WAYNE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9008 ELK GROVE BLVD, ELK GROVE, CA 95624-1945
(916) 709-1648
Mailing address
9008 ELK GROVE BLVD STE 20, ELK GROVE, CA 95624-1945
(916) 709-1648

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
27856
CA
1041C0700X
Clinical Social Worker
Primary
75283
CA

Other

Enumeration date
11/18/2010
Last updated
07/17/2020
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