Individual
DEANNA LYNN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 RIDGE RD, LACKAWANNA, NY 14218-1755
(716) 825-8644
Mailing address
6413 CHERRYWOOD LN, LOCKPORT, NY 14094-8835
(716) 316-2167
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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