Individual
ANGELA JO WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
11370 N STATE ROAD 67, MOORESVILLE, IN 46158-6368
(317) 834-8187
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 339-8109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360544
ANTHEM
—
Enumeration date
12/16/2005
Last updated
04/03/2019
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