Individual
MERCEDES WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 W MAGNOLIA AVE, FORT WORTH, TX 76104-4351
(817) 601-9736
Mailing address
1305 W MAGNOLIA AVE, FORT WORTH, TX 76104-4351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2135
TX
Other
Enumeration date
04/19/2018
Last updated
08/11/2020
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