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Individual
MR. PETER F WOLFE
Active
Individual
MR. PETER F WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9039
FL
235Z00000X
Speech-Language Pathologist
SLP004973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000907497B
—
GA
01
—
10065231
AMERIGROUP
GA
01
—
312242
WELLCARE
GA
05
—
892334500
—
FL
Enumeration date
11/08/2006
Last updated
01/25/2011
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