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NPI Code Detail

MEDICARE: NADINE WOOD LMSW

MEDICARE: NADINE WOOD LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1558157594
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE WOOD LMSW
Provider Business Mailing Address
First Line : 1107 ROYAL DR
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-6447
Country : US
Telephone Number : 479-544-5225
Fax Number :
Provider Business Practice Location Address
First Line : 1100 N COLLEGE AVE
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-1999
Country : US
Telephone Number : 479-443-4301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2025
Last Update Date : 04/16/2025

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Directions to “ NADINE WOOD LMSW” Practice Location

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