Individual
CASEY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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