Individual
ROBERT DAVID WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC ADVANCED
Contact information
Practice address
2606 GENESEE ST, UTICA, NY 13502-6003
(315) 507-5058
Mailing address
307 HACADAM RD, SAUQUOIT, NY 13456-3514
(315) 941-4840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12990
NY
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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