Individual
VICKIE L WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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