Individual
AMIE DIANA WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
159 CIVITAS ST STE 204, MOUNT PLEASANT, SC 29464-2201
(847) 431-7113
Mailing address
159 CIVITAS ST STE 204, MOUNT PLEASANT, SC 29464-2201
(847) 431-7113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023023
NY
103T00000X
Psychologist
Primary
1641
SC
Other
Enumeration date
09/11/2017
Last updated
08/30/2024
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