Individual
KACIE KAY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3159
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 226-2288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007396
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243964
—
IA
Enumeration date
05/24/2013
Last updated
05/24/2013
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