Individual
BENJAMIN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SWMFT
Contact information
Practice address
12337 ASHLEY DR STE C, GULFPORT, MS 39503-2753
(601) 366-0722
(601) 336-0968
Mailing address
20329 GORDON ST, SAUCIER, MS 39574-6070
(601) 366-0722
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0513
MS
Other
Enumeration date
07/07/2019
Last updated
10/31/2019
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