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1447766043
KATIE JEAN WOOD
SAN DIEGO, CA
NPI
1447766043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-18
Last Update Date
2017-12-28
Business Address
KATIE JEAN WOOD
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-977-3716
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Mailing Address
KATIE JEAN WOOD
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number:
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