Individual
MS. HEATHER VANDYKE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BASW LSW
Contact information
Practice address
69 GRANVILLE ST, NEWARK, OH 43055-4983
(740) 345-7030
Mailing address
65 MESSIMER DR UNIT 2, NEWARK, OH 43055-1899
(740) 345-7030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S22122
OH
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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