Individual
DIANE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 POWERS PL, ALPHARETTA, GA 30009-7204
(770) 367-2456
Mailing address
1460 SALEM DR, ALPHARETTA, GA 30009-3141
(770) 367-2456
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007437
GA
Other
Enumeration date
05/24/2012
Last updated
06/18/2021
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