Individual
CANDICE MARIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7979
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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