Individual
TAYLOR WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 755-3217
Mailing address
3621 DILDINE RD, IONIA, MI 48846-9550
(616) 755-3217
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
06/14/2021
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