Individual
KAILEY E WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1243 SHED RD, BEDFORD, PA 15522-8584
(814) 623-5166
Mailing address
184 MAY APPLE LN, ROARING SPRING, PA 16673-9336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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