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Provider Information for 1346275609


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Mr. THOMAS GEORGE WOLFF LPC


Sex: Male

NPI: 1346275609
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1346275609
Enumeration Date2006-07-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2520 S KINGSDALE ST
JOPLIN, MO 64804-1341
United States

Phone: 417-206-9777 | Fax:
 
Primary Practice Address 5525 E 51ST ST
SUITE #400
TULSA, OK 74135-7461
United States

Phone: 918-388-6221 | Fax:918-388-6456
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOK2210