Individual
COLIN S WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 296-4792
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 296-4792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3617
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139670
—
OR
Enumeration date
12/04/2006
Last updated
07/09/2007
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