Individual
AUDREY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1681 SW SOUTHWORTH TER, PORT ST LUCIE, FL 34953-1012
(772) 828-5636
Mailing address
1681 SW SOUTHWORTH TER, PORT ST LUCIE, FL 34953-1012
(772) 828-5636
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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