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Individual

JASON JONAS WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
100 HOSPITAL DR STE 3, PETERSBURG, WV 26847-9570
(304) 257-1015
(304) 257-1129
Mailing address
76 PONDVIEW RD, FISHER, WV 26818-5600
(304) 851-7845

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00945052
WV

Other

Enumeration date
09/29/2022
Last updated
09/29/2022
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