Individual
MRS. DEBORA WALLACE-WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 324-5479
Mailing address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 324-5479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1500049
OH
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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