Individual
MR. SHAWN A. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
BUILDING TMD 05/06 FT. RICHARDSON, ANCHORAGE, AK 99505
(907) 384-0830
Mailing address
7655 E WOLF CREEK RD, WASILLA, AK 99654-9391
(907) 406-3830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW-25510
ID
Other
Enumeration date
05/08/2007
Last updated
09/14/2016
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