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Individual

SUSAN MCCULLOUGH WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
Mailing address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4021

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
457
ND
103G00000X
Clinical Neuropsychologist

Other

Enumeration date
01/24/2011
Last updated
04/04/2022
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