Individual
KELLY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 6TH AVE, LAKE ODESSA, MI 48849-1059
(517) 388-2869
Mailing address
1138 6TH AVE, LAKE ODESSA, MI 48849-1059
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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