Individual
NIESHA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
Mailing address
4042 LAKE TAHOE CIR, WEST PALM BEACH, FL 33409-7879
(561) 352-3431
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076871500
—
FL
Enumeration date
09/06/2012
Last updated
04/24/2023
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