Individual
MRS. LARISSA WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5795 W ALEXANDRIA RD, MIDDLETOWN, OH 45042-8900
(513) 420-4755
Mailing address
3554 MCLEAN RD, FRANKLIN, OH 45005-4720
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9431
OH
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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