Individual
KELLY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0227
Mailing address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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