Individual
MRS. CAROLYN INGALLS WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
14440 CHERRY LANE CT, SUITE 216, LAUREL, MD 20707-4946
(301) 758-4939
(410) 304-2511
Mailing address
376 LOBLOLLY WAY, GRASONVILLE, MD 21638-1031
(301) 758-4939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09527
MD
Other
Enumeration date
11/13/2006
Last updated
09/01/2016
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