Individual
KYLE DAMON WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LLP
Contact information
Practice address
605 E 7TH AVE, SUITE 9, SAULT SAINTE MARIE, MI 49783-3111
(906) 635-7270
(906) 635-7688
Mailing address
8647 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-8903
(906) 322-0716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009814
MI
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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