Individual
MRS. CONNIE MARIE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
650 E BIG BEAVER RD, SUITE A, TROY, MI 48083-1432
(248) 852-5211
Mailing address
1203 GARWOOD DR, TROY, MI 48085-5730
(248) 519-1212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011249
MI
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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