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General NPI Number Information
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NPI Number | 1639371743
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Entity Type | Individual
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Provider Name | VALERIE LYNN WOOD LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 329 RESOURCE PKWY
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City | WINDER
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State | GA
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Zip | 30680-8364
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Country | US
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Telephone | 678-425-9075
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Fax | 678-425-0924
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Provider Business Mailing Address
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Address Line | 329 RESOURCE PKWY
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City | WINDER
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State | GA
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Zip | 30680-8364
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Country | US
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Telephone | 678-425-0975
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Fax | 678-425-9024
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CSW3563
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License Number State | GA
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