Individual
ELLEN P WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2511 N 124TH ST STE 106, BROOKFIELD, WI 53005-4684
(262) 641-4347
(262) 641-4350
Mailing address
2511 N 124TH ST STE 106, BROOKFIELD, WI 53005-4684
(262) 641-4347
(262) 641-4350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3583-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40967000
—
WI
Enumeration date
10/05/2006
Last updated
04/22/2025
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