Individual
CONSTANCE M WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
58 PORTLAND RD STE 2, KENNEBUNK, ME 04043-6651
(207) 286-7320
Mailing address
42 HIGH ST, KENNEBUNK, ME 04043-6932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10701
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432794199
—
ME
Enumeration date
01/09/2008
Last updated
04/29/2011
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