Individual
MS. CONSTANCE WULFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2031 MARTIN LUTHER KING JR DR STE D, GREENSBORO, NC 27406-3300
(336) 271-5888
Mailing address
2031 MARTIN LUTHER KING JR DR STE D, GREENSBORO, NC 27406-3300
(336) 271-5888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114261922
—
NC
01
—
Q44920A
MEDICARE PTAN
—
Enumeration date
11/16/2012
Last updated
01/07/2019
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