Individual
DEDRICK WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6610 HIGHWAY 74 APT 407, SAINT GABRIEL, LA 70776-4566
(225) 620-1301
Mailing address
6610 HIGHWAY 74 APT 407, SAINT GABRIEL, LA 70776-4566
(225) 620-1301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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