Individual
KRISTIN TIEDEKEN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(484) 318-9151
Mailing address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(484) 318-9151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016740
PA
Other
Enumeration date
02/12/2017
Last updated
02/24/2020
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