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Individual

ELIZABETH T WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
325B N COBB ST, MILLEDGEVILLE, GA 31061-2683
(478) 451-5205
(478) 451-5024
Mailing address
PO BOX 673, MILLEDGEVILLE, GA 31059-0673
(478) 451-5205
(478) 451-5024

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC003937
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277836850A
GA
Enumeration date
05/27/2008
Last updated
05/27/2008
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