# MARLENE M WOLF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801371208
- **Authorized official:** MARLENE M WOLF (OWNER/CLINICIAN)
- **Authorized official phone:** (203) 856-9852

## Contact information

- **Practice address:** 1200 HIGH RIDGE RD, STAMFORD, CT 06905-1223
- **Practice address phone:** (203) 856-9852
- **Mailing address:** 22 TRYON AVE, RUMFORD, RI 02916-1834
- **Mailing address phone:** (203) 856-9852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2018
- **Last updated:** 07/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004069985 | — | CT |