Individual
LAUREN WOLKOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 S COLUMBUS DR, GILBERT, AZ 85296-2101
(480) 507-1624
Mailing address
375 S COLUMBUS DR, GILBERT, AZ 85296-2101
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4041096
AZ
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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