Individual
DR. KELLY DEMETRIUS WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
400 VETERANS AVE, (116B), BILOXI, MS 39531-2410
(228) 523-4734
(228) 523-4754
Mailing address
8120 MARTIN BLUFF RD, GAUTIER, MS 39553-2215
(228) 497-9341
(228) 523-4754
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36 653
MS
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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