DEREK WOOD

POCATELLO, ID
NPI1720224983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-12-18
Last Update Date2008-12-18
Business Address
-- DEREK WOOD
2055 GARRETT WAY STE. 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
Mailing Address
-- DEREK WOOD
2055 GARRETT WAY STE. 1
POCATELLO, ID 83201-5100
Phone number: 208-236-1600
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