Individual
JODY MARIE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 S LEWIS AVE, TULSA, OK 74136-1099
(580) 380-1844
Mailing address
600 S 8TH AVE, MADILL, OK 73446-3010
(580) 795-5660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
OK
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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