Individual
EARL WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
2900 34TH AVE S APT 1243, FARGO, ND 58104-5185
(573) 513-7445
Mailing address
2900 34TH AVE S APT 1243, FARGO, ND 58104-5185
(573) 513-7445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1362-6-1-24A
ND
101YP2500X
Professional Counselor
Primary
13626124A
ND
Other
Enumeration date
09/11/2024
Last updated
12/11/2024
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