Provider Information for 1720653041
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SUSAN WOLFE LPC
Sex: Female
NPI: 1720653041
Last Updated: 2024-08-15
Certification Date: 2024-08-15
Certification Date: 2024-08-15
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1720653041 | |||||||||||||||||||||
| Enumeration Date | 2021-05-20 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 7810 N 14TH PL APT 2040 PHOENIX, AZ 85020-4315 United States Phone: 412-390-6710 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 7810 N 14TH PL APT 2040 PHOENIX, AZ 85020-4315 United States Phone: 412-390-6710 | Fax: | |||||||||||||||||||||
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