Individual
WOOD J POLYNICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 FEDERAL ST, CAMDEN, NJ 08103-1121
(857) 756-2256
Mailing address
3001 ROUTE 130, 26C, DELRAN, NJ 08075-2657
(609) 227-3129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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