Provider Information for 1346092111
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NICHOLAS PAUL WOOD LMSW
Sex: Male
NPI: 1346092111
Last Updated: 2024-10-16
Certification Date: 2024-10-16
Certification Date: 2024-10-16
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1346092111 | ||||||||||||
| Enumeration Date | 2024-04-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4007 CARPENTER RD # 227 YPSILANTI, MI 48197-9644 United States Phone: 734-233-8805 | Fax: | ||||||||||||
| Primary Practice Address | 4007 CARPENTER RD # 227 YPSILANTI, MI 48197-9644 United States Phone: 734-223-8805 | Fax: | ||||||||||||
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