| Doctor Name: | MS. COLEEN ANNE WOOD |
| NPI Number: | 1023120748 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 1000 |
| Business Practice Address: | 35 Newport Rd New London, NH - 032575413 |
| Business Phone Number: | 6038651321 |
| Business Fax Number: | 6038651327 |
| Mailing Address: | 35 Newport Rd, NEW LONDON |
| State: | NH |
| Postal Code: | 032575413 |
| Phone Number: | 6038651321 |
| Fax Number: | 6038651327 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |