Individual
ELIJAH WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW, MSW, LICSW
Contact information
Practice address
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Mailing address
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068-1760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28914
MN
Other
Enumeration date
03/21/2023
Last updated
03/28/2023
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