Individual
KELLY YVONNE HANCOCK ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10751 NW 21ST ST, SUNRISE, FL 33322-3401
(954) 270-0601
Mailing address
10751 NW 21ST ST, SUNRISE, FL 33322-3401
(954) 270-0601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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