Individual
MRS. STACEY G. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
415 WATER ST, ELLSWORTH, ME 04605-2116
(207) 610-8018
Mailing address
PO BOX 906, MOUNT DESERT, ME 04660-0906
(207) 266-9013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4441
ME
Other
Enumeration date
11/06/2012
Last updated
05/05/2015
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