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IRENE WOOD LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1073806949

Individual Registrant:
 IRENE  WOOD LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
415 BONAVENTURE RD  THUNDERBOLT, GA 31404-3299 US
Tel: 912-790-6526  Fax: --

Contact information for business:
700 COASTAL VILLAGE DRIVE  BRUNSWICK, GA 31520-2878 US
Tel: 912-554-8510  Fax: --

Registration Information:
NPI: 1073806949
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC006373

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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