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Individual

AMANDA L WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 MACDONOUGH PL, MIDDLETOWN, CT 06457-3607
(860) 358-3437
Mailing address
53 SCHOOL RD, BOLTON, CT 06043-7815
(860) 490-6525

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13296
CT

Other

Enumeration date
09/19/2023
Last updated
03/08/2024
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