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Individual

VICKIE L WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
350 CITY VIEW DR, 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Mailing address
350 CITY VIEW DR, 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-523
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106662500
WY
01
313692
BCBS OF WYOMING
WY
Enumeration date
04/24/2007
Last updated
04/29/2011
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