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Individual

MRS. ELAINE THOMAS WOLF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
270 N TOMS ST, RUTHERFORDTON, NC 28139
(828) 287-8890
(828) 287-3102
Mailing address
238 KNOLLWOOD DR, FOREST CITY, NC 28043-9651
(828) 245-9732
(828) 287-3102

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1350
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6107066
NC
01
E1788
MEDCOST
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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