Individual
SUSAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19696 OLD LINCOLN HWY, COUNCIL BLUFFS, IA 51503-0301
(712) 325-1331
Mailing address
6372 S 95TH ST, OMAHA, NE 68127-4039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007633
IA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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