Provider Information for 1598839581
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Mrs. KEISHA D WOOD LCSW
Sex: Female
NPI: 1598839581
Last Updated: 2023-03-21
Certification Date: 2023-03-21
Certification Date: 2023-03-21
Details
| Name | Value | ||||||||
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| NPI | 1598839581 | ||||||||
| Enumeration Date | 2006-11-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 352 GUY, AR 72061-0352 United States Phone: 870-899-0884 | Fax: | ||||||||
| Primary Practice Address | 1813 EXECUTIVE SQ JONESBORO, AR 72401-6086 United States Phone: 870-899-0884 | Fax: | ||||||||
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