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Individual
MR. KENNETH JAMES WOLFORD
Active
Individual
MR. KENNETH JAMES WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0002752
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002752
—
OH
Enumeration date
11/24/2009
Last updated
11/24/2009
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