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Individual
MR. MARION CORNELIUS WOLFE JR.
Active
Individual
MR. MARION CORNELIUS WOLFE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW70101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
70101
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
03-109797
CA
104100000X
Social Worker
Primary
ASW70101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-109797
CAS AOD CERTIFICATION
CA
Enumeration date
05/01/2012
Last updated
02/14/2020
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