Individual
MRS. MELISSA LYNNE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.S.W
Contact information
Practice address
750 N 200 W, STE 300, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
232 E 400 N, PROVO, UT 84606-2914
(801) 497-6709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7450402-3503
UT
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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