Individual
LESLIE DIANE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 SW 8TH ST, CORVALLIS, OR 97333-4544
(541) 602-2674
(866) 908-5656
Mailing address
760 SW MADISON AVE APT 10, CORVALLIS, OR 97333-4588
(541) 602-2674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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