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Individual

PATRICIA ANNE WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MMH, LMFT

Contact information

Practice address
222 SHELDEN AVE, SUITE #2, HOUGHTON, MI 49931-2134
(906) 482-5598
(906) 482-5598
Mailing address
PO BOX 704, HOUGHTON, MI 49931-0704
(906) 482-5598
(906) 482-5598

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006260
MI
106H00000X
Marriage & Family Therapist
M14416
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20814292
EIN
MI
Enumeration date
02/21/2007
Last updated
07/08/2007
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