Individual
AMELIA GAILLARD WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3420 KENYON ST, SAN DIEGO, CA 92110-5001
(619) 221-6145
Mailing address
756 AMIFORD DR, SAN DIEGO, CA 92107-4253
(619) 223-5926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10009
CA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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