KENNETH WOOD

NEWPORT, OR
NPI1134770332
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-28
Last Update Date2020-01-15
Business Address
KENNETH WOOD CRM
1376 FRUITVALE RD # DAY
NEWPORT, OR 97365-9671
Phone number: 541-265-7945
Mailing Address
KENNETH WOOD CRM
1376 FRUITVALE RD
NEWPORT, OR 97365-9671
Phone number: 541-270-8767
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