Individual
KRISTINA WOLFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
565 UNION ST NE STE 105, SALEM, OR 97301-2416
(503) 585-0351
Mailing address
565 UNION ST NE STE 105, SALEM, OR 97301-2416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A4252
OR
Other
Enumeration date
02/08/2016
Last updated
03/17/2018
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