Individual
ANGEL LEA WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16414 W 760 RD, TAHLEQUAH, OK 74464-1675
(918) 708-9099
Mailing address
4806 BUSHYHEAD ST, TAHLEQUAH, OK 74464-5640
(918) 316-5965
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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