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Individual

MARGARITA S WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5018 E SHASTA ST, PHOENIX, AZ 85044-3321
(302) 703-9106
Mailing address
5018 E SHASTA ST, PHOENIX, AZ 85044-3321
(302) 703-9106

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
OK
171400000X
Health & Wellness Coach
OK
175T00000X
Peer Specialist
Primary
OK

Other

Enumeration date
11/22/2022
Last updated
11/22/2022
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