Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 1312 | OK |
NPI | 1003057795 |
---|---|
Provider Name | Nancy K. Wood |
First Address | Oklahoma City, OK 73116-1684 |
Second Address | Oklahoma City, OK 73116-1684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2009 |
Last Update Date | 10/03/2009 |