Most Relevant Information
Provider Data
| NPI Number: | 1003399767 |
| Provider Name: | DIANE PATRICE WOOD LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1026429 |
Most Important Dates
| Enumeration Date: | 09/10/2018 |
| Last Updated: | 09/10/2018 |
Provider Practice Location
29A EMERSON AVE
GLOUCESTER
MA
019302556
Practice Location Phone/Fax
| Phone: | 9786759501 |
| Fax: | 9782831588 |
Provider Mailing Location
29A EMERSON AVE
GLOUCESTER
MA
019302556
Provider Mailing Phone/Fax
| Phone: | 9786759501 |
| Fax: | 9782831588 |